Individual provider Active NPI

Krystianna Nguyen, PH. D.

  • Clinical Psychologist
  • Orange, CA
National Provider Identifier
1922585793
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
33667 Issued in CA
Practice address
500 N State College Blvd Ste 1100
Orange, CA 92868-1625
Phone
(949) 866-3392
NPI assigned
Jul 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 33667 CA Primary
Psychologist 103T00000X 33667 CA
Cognitive & Behavioral Psychologist 103TB0200X 33667 CA

Addresses

Primary practice location

500 N State College Blvd Ste 1100
Orange, CA 92868-1625

Mailing address

1691 Mesa Dr Apt R09
Newport Beach, CA 92660-0100

Other practice location 1

4000 MacArthur Blvd Ste 600
Newport Beach, CA 92660-2517
Phone (714) 758-5912

Other identifiers 1

IdentifierTypeStateIssuer
33667OtherCALICENSED PSYCHOLOGIST

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
I20221121001899 CA Practitioner - Clinical Psychologist 6305214479 Reassigns benefits to 1 organization
Practice locations: Orange, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
KT Psychology Group PC Psychologist Current Accepting new patients

Locations

500 N State College Blvd
Ste 1100
Orange, CA 92868
Phone (714) 758-5912

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1922585793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 MESA DR APT R09",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N STATE COLLEGE BLVD STE 1100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681625",
            "telephone_number": "949-866-3392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 MacArthur Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926602517",
            "country_code": "US",
            "telephone_number": "714-758-5912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KRYSTIANNA",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "33667",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "33667",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "33667",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PSYCHOLOGIST",
            "identifier": "33667",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.