Nicole Paysinger

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

105420 Issued in CA

Practice address

3053 La Corona Ave
Altadena, CA 91001-4332

Phone

(626) 791-3200

NPI assigned

Jan 19, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Bourne Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Altadena, CA
  • NPI 1568964021
  NPD (past)

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1912659111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16111 PRAIRIE AVE APT 220",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902602718",
            "telephone_number": "310-595-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3053 LA CORONA AVE",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910014332",
            "telephone_number": "626-791-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYSINGER",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "105420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khalida Assadullah Pathan, M.D.
• Donmeshia Paton
• Rachel Paul, RN, IBCLC
• Pax House Inc.
• Pax House LLC
• Nikki Payton
• Anthony Drew Pearson
• Gregory Pelczar
• Michelle Pena
• Virginia Pena

• Marriage & Family Therapist in Altadena, CA
• Providers in Altadena, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.