Organization Active NPI

Pointer Psychotherapy, Inc

  • Clinical Psychologist
  • Tustin, CA
National Provider Identifier
1962984013
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY26036 Issued in CA
Legal business name
POINTER PSYCHOTHERAPY, INC
Practice address
17662 Irvine Blvd Ste 7
Tustin, CA 92780-3132
Phone
(949) 439-7558
NPI assigned
Sep 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Authorized official

Name
Sara Pointer, PSYDNPI 1245493014
Title
Owner
Phone
(949) 439-7558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY26036 CA Primary

Addresses

Primary practice location

17662 Irvine Blvd Ste 7
Tustin, CA 92780-3132

Mailing address

9402 Pier Dr
Huntington Beach, CA 92646-7207
Phone (949) 439-7558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190226000409 CA Part B Supplier - Clinic/Group Practice 2769721331 Receives reassigned benefits from 1 practitioner
Practice locations: Tustin, CA

National Provider Directory

National Provider Directory

Locations

17662 Irvine Blvd
Ste 7
Tustin, CA 92780
Phone (714) 468-9963

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1962984013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9402 PIER DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926467207",
            "telephone_number": "949-439-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17662 IRVINE BLVD STE 7",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803132",
            "telephone_number": "949-439-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINTER PSYCHOTHERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "POINTER",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-439-7558",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.