Active NPI
Benjamin Corsbie, PSY.D.
- Clinical Psychologist
- Capitola, CA
National Provider Identifier
1467869057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY26652
- Practice address
- 4400 Capitola Rd Ste 200
Capitola, CA 95010-3571 - Phone
- (831) 426-9302
- Fax
- (831) 426-9304
- NPI assigned
- Jul 16, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY26652 | CA | Primary |
Addresses
Primary practice location
4400 Capitola Rd Ste 200
Capitola, CA 95010-3571
Mailing address
4400 Capitola Rd Ste 200
Capitola, CA 95010-3571
Phone (831) 426-9302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY26652 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409702400000",
"number": "1467869057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 CAPITOLA RD STE 200",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950103571",
"telephone_number": "831-426-9302",
"fax_number": "831-426-9304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 CAPITOLA RD STE 200",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950103571",
"telephone_number": "831-426-9302",
"fax_number": "831-426-9304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORSBIE",
"first_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-16",
"last_updated": "2014-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY26652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Capitola, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.