Kristin Lulich Advanced Practice Registered Nursing, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

KRISTIN LULICH ADVANCED PRACTICE REGISTERED NURSING, INC.

Practice address

1120 Silverado St
La Jolla, CA 92037-4524

Phone

(253) 218-8755

NPI assigned

Sep 30, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Kristin Marie Lulich, DNP, PMHNP-BC

Title

Ceo

Phone

(253) 218-8755

Specialties & licenses 2

Addresses

Other names 1

• Mind Bloom La Jolla Doing business as

Locations

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1659912723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 MONMOUTH DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 SILVERADO ST",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374524",
            "telephone_number": "253-218-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN LULICH ADVANCED PRACTICE REGISTERED NURSING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "LULICH",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-218-8755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Bloom La Jolla",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Lee Krinsky, D.O.
• Daniel F. Kripke, M.D.
• Donald L. Kripke, M.D.
• Sibi Krishnamurthy
• Krista Roybal, M.D. Inc.
• Joan F. Kroener, M.D.
• Elan Daniel Krojanker, MD
• Emily Kron, MA, LMFT
• Emily Anne Kruse, MD
• Esther Kuan

• Psychiatry Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.