Active NPI
Katrina Marie Barbosa
- Psychiatric/Mental Health Nurse Practitioner
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95033062
- Practice address
- 11850 Pierce St Ste 200
Riverside, CA 92505-5184 - Phone
- (951) 465-3664
- NPI assigned
- Nov 4, 2016
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 835054 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95033062 | CA | Primary |
Addresses
Primary practice location
11850 Pierce St Ste 200
Riverside, CA 92505-5184
Mailing address
11850 Pierce St Ste 200
Riverside, CA 92505-5184
Phone (951) 465-3664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1955 Long Beach Blvd
Long Beach, CA 90806-5501
Phone (562) 285-1330
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 835054 | CA | MD | Registered Nurse |
| 95033062 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health America of Los Angeles | Current | Accepting new patients | |
| Mental Health America of Los Angeles | Current | Accepting new patients | |
| Renewing Hope Family Counseling Center, Inc | Past | Accepting new patients | |
| County of Orange | Past | Accepting new patients | |
| County of Orange | Past | Accepting new patients |
Locations
1955 Long Beach Blvd
Long Beach, CA 90806
Phone (562) 533-4942
Organizations & group practices 6
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.
-
- Community/Behavioral Health Agency
- Long Beach, CA
- NPI 1003138009
-
dba MHA Wellness Center
- Community/Behavioral Health Agency
- Long Beach, CA
- NPI 1104942044
-
dba MHALA Integrated Service Center LB
- Community/Behavioral Health Agency
- Long Beach, CA
- NPI 1326164245
-
dba AMHS Intensive Care Management Fullerton
- Adult Mental Health Clinic/Center
- Fullerton, CA
- NPI 1316084031
-
dba AMHS Crisis Stabilization Unit
- Adult Mental Health Clinic/Center
- Santa Ana, CA
- NPI 1598025793
-
- Marriage & Family Therapist
- Murrieta, CA
- NPI 1235649260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1619429834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11850 PIERCE ST STE 200",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925055184",
"telephone_number": "951-465-3664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11850 PIERCE ST STE 200",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925055184",
"telephone_number": "951-465-3664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARBOSA",
"first_name": "KATRINA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-04",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "835054",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95033062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.