Active NPI
Christina O'Sullivan, JD, PHD
- Forensic Psychologist
- Orange, CA
National Provider Identifier
1831486000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- PSY24233
- Practice address
- 1588 N Batavia St
Orange, CA 92867-3553 - Phone
- (559) 498-8265
- NPI assigned
- Jul 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | PSY24233 | CA | Primary |
Addresses
Primary practice location
1588 N Batavia St
Orange, CA 92867-3553
Mailing address
1588 N Batavia St
Sunnyvale, CA 94088-4237
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)
- Not enrolled
- Credentials
- Juris Doctor, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY24233 | CA | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1831486000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1588 N BATAVIA ST",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940884237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1588 N BATAVIA ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928673553",
"telephone_number": "559-498-8265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'SULLIVAN",
"first_name": "CHRISTINA",
"name_prefix": "Dr.",
"credential": "JD, PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-07",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "PSY24233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.