Charlene Kay Krieg, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY13229 Issued in CA

Practice address

1401 N Tustin Avenue
Suite 120
Santa Ana, CA 92705

Phone

(714) 637-2319

Fax

(714) 637-1108

NPI assigned

Feb 26, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386770857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 SUNCREST ROAD",
            "city": "ANAHEIM HILLS",
            "state": "CA",
            "postal_code": "928073717",
            "telephone_number": "714-637-2319",
            "fax_number": "714-637-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N TUSTIN AVENUE",
            "address_2": "SUITE 120",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "714-637-2319",
            "fax_number": "714-637-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEG",
        "first_name": "CHARLENE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY13229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9248127",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Renee Kraus
• Kerry Jack Krause, DDS
• Charlton Duke Krautim, PT
• Krebs Chiropractic & Sports Rehab Inc.
• Tara Kreymer, MA, BCBA
• Courtney Kring
• Krishan S. Khurana MD, Inc.
• Alexis Susanna Kroes
• Kathryn Kromminga, RN
• Amanda Rae Kronquist, D.D.S.

• Psychologist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.