Active NPI
Laura Litynski Vitencz, PSYCHOLOGIST
- Psychologist
- Kings Beach, CA
National Provider Identifier
1578314035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY34830
- Practice address
- 205 Stateline Rd
Kings Beach, CA 96143 - Phone
- (805) 206-4684
- NPI assigned
- Apr 1, 2024
- Last updated
- Apr 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY34830 | CA | Primary |
Addresses
Primary practice location
205 Stateline Rd
Kings Beach, CA 96143
Mailing address
PO Box 1201
Kings Beach, CA 96143-1201
Phone (805) 206-4684
Other practice location 1
7883 Tiger Ave
Tahoe Vista, CA 96148-9897
Phone (805) 206-4684
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY34830 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspire Consulting LLC | Psychologist | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1578314035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1201",
"city": "KINGS BEACH",
"state": "CA",
"postal_code": "961431201",
"telephone_number": "805-206-4684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 STATELINE RD",
"city": "KINGS BEACH",
"state": "CA",
"postal_code": "96143",
"telephone_number": "805-206-4684"
}
],
"practiceLocations": [
{
"address_1": "7883 Tiger Ave",
"address_purpose": "LOCATION",
"city": "Tahoe Vista",
"state": "CA",
"postal_code": "961489897",
"country_code": "US",
"telephone_number": "805-206-4684",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LITYNSKI VITENCZ",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-01",
"last_updated": "2024-04-09",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY34830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kings Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.