Individual provider Active NPI

Marni Leigh Orsbern, PSY.D.

  • Psychologist
  • Costa Mesa, CA
National Provider Identifier
1710911763
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY19377 Issued in CA
Practice address
2995 Red Hill Ave
Costa Mesa, CA 92626-5976
Phone
(949) 292-8469
NPI assigned
Jul 10, 2006
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 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 PSY19377 CA Primary

Addresses

Primary practice location

2995 Red Hill Ave
Costa Mesa, CA 92626-5976

Mailing address

26741 Portola Parkway
Ste. 1E #244
Foothill Ranch, CA 92610-1763
Phone (492) 928-4699

Other names 1

  • Ms. Marni Leigh King Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY19377CAMDPsychologist
19377CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Community Services LLC PastSince Aug 15, 2021 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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1710911763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26741 PORTOLA PARKWAY",
            "address_2": "STE. 1E #244",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926101763",
            "telephone_number": "492-928-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 RED HILL AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265976",
            "telephone_number": "949-292-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORSBERN",
        "first_name": "MARNI",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY19377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARNI",
            "last_name": "KING",
            "middle_name": "LEIGH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

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