Kristina Louise Vellucci-Cook

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY29090 Issued in CA

Practice address

30011 Ivy Glenn Dr Ste 120
Laguna Niguel, CA 92677-5041

Phone

(714) 457-6007

NPI assigned

Apr 17, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467678748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30011 IVY GLENN DR STE 120",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775041",
            "telephone_number": "714-457-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30011 IVY GLENN DR STE 120",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775041",
            "telephone_number": "714-457-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELLUCCI-COOK",
        "first_name": "KRISTINA",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY29090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Randolph Van de Water, M.D.
• Caylin Alexis Vanoni, PTA
• Nazaret Gaspar Varzhapetyan, PHARM.D.
• Jose Gabriel Vasquez
• Gracie Vaughn, LVN
• Veronica Chu OD Professional Corporation (Laguna Heights Optometry)
• Megan Verrier, PT
• Kristy Kathleen Vetter, DDS
• Victoria Wang MD Inc. (Alta Dermatology)
• Robert Villalobos

• Psychologist in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.