Individual provider Active NPI

Nessa Gulik, MA, PSYD

  • Student in an Organized Health Care Education/Training Program
  • Phoenix, AZ
National Provider Identifier
1396255451
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
3450 N 3Rd St
Phoenix, AZ 85012-2331
Phone
(602) 351-6921
NPI assigned
Oct 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Psychologist 103T00000X PSY-005668 AZ
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

3450 N 3Rd St
Phoenix, AZ 85012-2331

Mailing address

21732 S Vermont Ave Ste 210
Torrance, CA 90502-2180

Other practice location 1

4025 W 226th St
Torrance, CA 90505
Phone (310) 373-4556 ext. 200

Other practice location 2

21732 S Vermont Ave Ste 210
Torrance, CA 90502-2180
Phone (310) 781-3449

Other names 1

  • Nessa Feinstein Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 29, 2026 through Jan 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PSY-005668AZMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1396255451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21732 S VERMONT AVE STE 210",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122331",
            "telephone_number": "602-351-6921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4025 W 226th St",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "90505",
            "country_code": "US",
            "telephone_number": "310-373-4556 x200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21732 S Vermont Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905022180",
            "country_code": "US",
            "telephone_number": "310-781-3449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULIK",
        "first_name": "NESSA",
        "name_prefix": "Dr.",
        "credential": "MA, PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "PSY-005668",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NESSA",
            "last_name": "FEINSTEIN",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.