Karyn M Sandburg, PSYCH MFT

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY14450 Issued in CA

Practice address

14751 Plaza Drive Ste F
Tustin, CA 92780

Phone

(714) 665-4343

Fax

(714) 544-4472

NPI assigned

Aug 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2017 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Inner Peace Psychotherapy, PC

  • Community/Behavioral Health Agency
  • Tustin, CA
  • NPI 1598179814
  NPD (past)
• Pointer Psychotherapy, Inc

  • Clinical Psychologist
  • Tustin, CA
  • NPI 1962984013
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1720194814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14751 PLAZA DRIVE STE F",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92780",
            "telephone_number": "714-665-4343",
            "fax_number": "714-544-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14751 PLAZA DRIVE STE F",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92780",
            "telephone_number": "714-665-4343",
            "fax_number": "714-544-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBURG",
        "first_name": "KARYN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSYCH MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14450",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT16598",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Sanchez, PA-C
• Elliot Emanuel Sanchez
• Israel Sanchez
• Mauricio Sanchez
• Stacey Cabrera Sanchez, FNP
• Santa Ana Tustin Podiatry Corporation
• Victoria Santacruz
• Carissa Santiago
• Michael Santos
• Shirley Ocampo Santos, DDS

• Psychologist in Tustin, CA
• Providers in Tustin, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.