Individual provider Active NPI

Czarina Pinsky

  • Marriage & Family Therapist
  • Placentia, CA
National Provider Identifier
1871346742
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
130902 Issued in CA
Practice address
101 S Kraemer Blvd Ste 208
Placentia, CA 92870-6110
Phone
(657) 315-3940
NPI assigned
Apr 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 130902 CA Primary

Addresses

Primary practice location

101 S Kraemer Blvd Ste 208
Placentia, CA 92870-6110

Mailing address

24552 Raymond Way # 1122
Lake Forest, CA 92630-9000
Phone (626) 788-2660

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241211002929 CA Practitioner - Marriage and Family Therapist 7214463413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 S Kraemer Blvd
Suite 208
Placentia, CA 92870-6110
Phone (657) 315-3940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
130902CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Connection Corporation CurrentSince Nov 1, 2024 Accepting new patients

Locations

101 S Kraemer Blvd
Ste 208
Placentia, CA 92870
Phone (657) 315-3940

170 E Yorba Linda Blvd
Placentia, CA 92870
Phone (559) 259-3244

151 N Kraemer Blvd
Ste 230
Placentia, CA 92870
Phone (657) 315-3940

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": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1871346742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24552 RAYMOND WAY # 1122",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926309000",
            "telephone_number": "626-788-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S KRAEMER BLVD STE 208",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706110",
            "telephone_number": "657-315-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINSKY",
        "first_name": "CZARINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "130902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

Verify at the official NPI Registry.