Active NPI
Deborah Lynn Kirschbaum, PH.D.
- Clinical Psychologist
- Mission Viejo, CA
National Provider Identifier
1497873731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY12070
- Practice address
- 27001 La Paz Rd
Suite 418
Mission Viejo, CA 92691-5502 - Phone
- (949) 215-5400
- Fax
- (949) 203-8686
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY12070 | CA | Primary |
| Psychoanalyst | 102L00000X | PSY12070 | CA |
Addresses
Primary practice location
27001 La Paz Rd
Suite 418
Mission Viejo, CA 92691-5502
Mailing address
27001 La Paz Rd
Suite 418
Mission Viejo, CA 92691-5502
Phone (949) 215-5400
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY12070 | CA | MD | Psychoanalyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Behavioral Care, Inc. a Psychological Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Mission Viejo, CA
- NPI 1306941596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296172800000",
"number": "1497873731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27001 LA PAZ RD",
"address_2": "SUITE 418",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926915502",
"telephone_number": "949-215-5400",
"fax_number": "949-203-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27001 LA PAZ RD",
"address_2": "SUITE 418",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926915502",
"telephone_number": "949-215-5400",
"fax_number": "949-203-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRSCHBAUM",
"first_name": "DEBORAH",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2011-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY12070",
"primary": true
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "CA",
"license": "PSY12070",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.