Active NPI
Courtney Lynn Rifenberg, PH.D.
- Psychologist
- Mishawaka, IN
National Provider Identifier
1922804350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6351004712
- Practice address
- 1540 Trinity PL
Mishawaka, IN 46545-5006 - Phone
- (574) 277-9000
- NPI assigned
- Feb 25, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6351004712 | MI | Primary |
Addresses
Primary practice location
1540 Trinity PL
Mishawaka, IN 46545-5006
Mailing address
1540 Trinity PL
Mishawaka, IN 46545-5006
Phone (574) 277-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6351004712 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1922804350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 TRINITY PL",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465455006",
"telephone_number": "574-277-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 TRINITY PL",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465455006",
"telephone_number": "574-277-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIFENBERG",
"first_name": "COURTNEY",
"middle_name": "LYNN",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-25",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6351004712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.