Kristina Brosius-Rodriguez

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

30011 Ivy Glenn Dr Ste 120
Laguna Niguel, CA 92677-5041

Phone

(714) 812-1916

Fax

(949) 305-8286

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

Yes

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• KR Psychological Services, Inc

  • Clinical Psychologist
  • Laguna Niguel, CA
  • NPI 1538531900
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713052800000",
    "number": "1902960446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 VANTIS DR UNIT 6021",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562547",
            "telephone_number": "714-812-1916",
            "fax_number": "949-305-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30011 IVY GLENN DR STE 120",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775041",
            "telephone_number": "714-812-1916",
            "fax_number": "949-305-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSIUS-RODRIGUEZ",
        "first_name": "KRISTINA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2024-04-14",
        "certification_date": "2024-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Vikander Physical Therapy, P.C.
• Breathe Better Products
• Louis G. Brennan, M.D.
• Sarah Nicole Brewer, MD PHD
• Brian D. Smith MD Corp
• Cynthia Quinn Brown, LMFT
• Eva Anita Brown, LCSW
• Jason C Brown, M.D.
• Romana Irmgard Brown
• Melissa Bruketta, MT

• Psychologist in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2024; 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.