KR Psychological Services, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20067 Issued in CA

Legal business name

KR PSYCHOLOGICAL SERVICES, INC

Practice address

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

Phone

(714) 812-1916

Fax

(949) 305-8286

NPI assigned

Oct 26, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Kristina Brosius-Rodriguez, PSY.D.NPI 1902960446

Title

Ceo

Phone

(714) 812-1916

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristina Brosius-Rodriguez

  • Psychologist
  • Laguna Niguel, CA
  • NPI 1902960446
  Medicare reassignment Authorized official
• Jennifer A Berg, PSYD

  • Clinical Psychologist
  • Laguna Niguel, CA
  • NPI 1255628780
  NPD
• Rhonda Ann Butters, MFT

  • Marriage & Family Therapist
  • Laguna Niguel, CA
  • NPI 1386701860
  NPD (past)
• Julia Beth Cohen, PHD.

  • Clinical Psychologist
  • Laguna Niguel, CA
  • NPI 1891776134
  NPD (past)
• Terry A Rifkin, LCSW

  • Mental Health Counselor
  • Laguna Niguel, CA
  • NPI 1992717730
  NPD (past)
• Connie Joo Won, PH.D.

  • Clinical Psychologist
  • Irvine, CA
  • NPI 1538448345
  NPD (past)
• Brenda Shelley-McIntyre, PH. D.

  • Clinical Psychologist
  • Teaneck, NJ
  • NPI 1699711523
  NPD (past)

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713052800000",
    "number": "1538531900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 VANTIS DR UNIT 6021",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562547",
            "telephone_number": "714-812-1916",
            "fax_number": "949-305-8286"
        },
        {
            "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": "714-812-1916",
            "fax_number": "949-305-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KR PSYCHOLOGICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2024-04-14",
        "certification_date": "2024-04-14",
        "status": "A",
        "authorized_official_last_name": "BROSIUS-RODRIGUEZ",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-812-1916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20067",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amitpal Singh Kohli, M.D.
• Farrokh Kolahi Aval
• Christina Rachel Kong, DPT
• Evan G Kotopoulis, PHARM.D.
• Sophie Rose Kovacevich
• Sonja Stumme Krafcik, MD
• Ellie La, PHARMD
• Gabriel Labelle
• Christy Brissette Laganiere, RD
• Laguna Heights Optometry Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.