Individual provider Active NPI

Laura Litynski Vitencz, PSYCHOLOGIST

  • Psychologist
  • Kings Beach, CA
National Provider Identifier
1578314035
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY34830 Issued in CA
Practice address
205 Stateline Rd
Kings Beach, CA 96143
Phone
(805) 206-4684
NPI assigned
Apr 1, 2024
Last updated
Apr 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PSY34830CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.