Active NPI
Krystianna Nguyen, PH. D.
- Clinical Psychologist
- Orange, CA
National Provider Identifier
1922585793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 33667
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33667 | Other | CA | LICENSED 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Psychologist
- Orange, CA
- NPI 1093663668
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.