Marina Costanzo

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY32004 Issued in CA

Practice address

374 N Coast Highway 101
Encinitas, CA 92024-2542

Phone

(858) 367-7274

Fax

(833) 643-0973

NPI assigned

Jul 5, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grounded Therapy, a Psychology Corp

  • Clinical Psychologist
  • Encinitas, CA
  • NPI 1043836505
  Medicare reassignment NPD

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1811252976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 CYPRESS AVE STE 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900651112",
            "telephone_number": "949-280-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 N COAST HIGHWAY 101",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242542",
            "telephone_number": "858-367-7274",
            "fax_number": "833-643-0973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 W Moreno Ave",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809051731",
            "country_code": "US",
            "telephone_number": "719-572-6427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "84 W Santa Clara St Ste 700",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951131809",
            "country_code": "US",
            "telephone_number": "858-208-0380",
            "fax_number": "833-643-0973",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W Carson St # D5.5",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905022004",
            "country_code": "US",
            "telephone_number": "310-222-3151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 N California Blvd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945967261",
            "country_code": "US",
            "telephone_number": "858-208-0380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTANZO",
        "first_name": "MARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY32004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Core Orthopaedic Medical Center
• Sarah Corey, ND
• Cornerstone Caregiving West LLC
• David Cornsweet, PH.D.
• Katherine Costantini
• Christi Costello, OTR/L
• Julie Ann Coudoux, MP
• Covenant Care Encinitas, LLC (Encinitas Nursing and Rehabilitation Center)
• John Wayne Cowan, P.A.
• Mary Alice Coyne, MA, BCBA

• Clinical Psychologist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.

Verify at the official NPI Registry.