Individual provider Active NPI

Rayne Palombit, PSYD

  • Psychologist
  • Santa Ana, CA
National Provider Identifier
1407300445
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY32502 Issued in CA
Practice address
200 W Santa Ana Blvd Ste 801
Santa Ana, CA 92701-4134
Phone
(714) 704-5908
NPI assigned
Aug 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY32502 CA Primary

Addresses

Primary practice location

200 W Santa Ana Blvd Ste 801
Santa Ana, CA 92701-4134

Mailing address

200 W Santa Ana Blvd Ste 801
Santa Ana, CA 92701-4134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY32502CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Didi Hirsch Psychiatric Service CurrentSince Sep 25, 2023 Accepting new patients
Didi Hirsch Psychiatric Service CurrentSince Sep 25, 2023 Accepting new patients
Didi Hirsch Psychiatric Service Current Accepting new patients
Didi Hirsch Psychiatric Service Past Accepting new patients

Locations

4760 Sepulveda Blvd
Los Angeles, CA 90230
Phone (310) 751-5344

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1407300445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W SANTA ANA BLVD STE 801",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W SANTA ANA BLVD STE 801",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014134",
            "telephone_number": "714-704-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMBIT",
        "first_name": "RAYNE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY32502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.