Active NPI
Marina Bystritsky, PH.D.
- Clinical Psychologist
- Palo Alto, CA
National Provider Identifier
1710933874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 18733
- Practice address
- 467 Hamilton Ave
Suite 21
Palo Alto, CA 94301-1830 - Phone
- (650) 525-5522
- NPI assigned
- May 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 18733 | CA | Primary |
Addresses
Primary practice location
467 Hamilton Ave
Suite 21
Palo Alto, CA 94301-1830
Mailing address
467 Hamilton Ave
Suite 21
Palo Alto, CA 94301-1830
Phone (650) 525-5522
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 18733 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1710933874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "467 HAMILTON AVE",
"address_2": "SUITE 21",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943011830",
"telephone_number": "650-525-5522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "467 HAMILTON AVE",
"address_2": "SUITE 21",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943011830",
"telephone_number": "650-525-5522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYSTRITSKY",
"first_name": "MARINA",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 18733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.