KRISTINA SANDLER REYNOSA
NPI 1407513898
Marriage & Family Therapist in San Diego, CA

Active since November 21, 2021PECOS Enrolled
4520 EXECUTIVE DR STE 225, SAN DIEGO, CA 92121(858) 202-1822 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristina Sandler Reynosa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTINA SANDLER REYNOSA (NPI 1407513898) is an individual marriage & family therapist in San Diego, California, licensed in California (157674) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1407513898
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKRISTINA SANDLER REYNOSA
Location Address4520 EXECUTIVE DR STE 225San Diego, CA 92121-3094
Mailing Address5665 Friars Rd Unit 260San Diego, CA 92110-2558
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 21, 2021
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
NPI 1407513898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses Licensed in CA · 157674 Licensed in CA · 126747
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4520 EXECUTIVE DR STE 225, San Diego, CA 92121

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kristina Sandler Reynosa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113418641
PECOS Enrollment IDI20251112003997
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
4520 EXECUTIVE DR STE 225
SAN DIEGO, CA 92121
Psychiatry & Neurology (Psychiatry)
4520 EXECUTIVE DR STE 225
SAN DIEGO, CA 92121
Counselor (Professional)
4520 EXECUTIVE DR STE 225
SAN DIEGO, CA 92121
Marriage & Family Therapist
4520 EXECUTIVE DR STE 225
SAN DIEGO, CA 92121
Registered Nurse (Psychiatric/Mental Health)
4520 EXECUTIVE DR STE 225
SAN DIEGO, CA 92121
Counselor (Mental Health)
4520 EXECUTIVE DR STE 225
SAN DIEGO, CA 92121
Registered Nurse
4520 EXECUTIVE DR STE 225
SAN DIEGO, CA 92121
Registered Nurse
4520 EXECUTIVE DR STE 225
SAN DIEGO, CA 92121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristina Reynosa's NPI number?

The NPI number for Kristina Reynosa is 1407513898. It was assigned to this individual provider in the NPPES registry on November 21, 2021.

Where is Kristina Reynosa located?

Kristina Reynosa practices at 4520 Executive Dr Ste 225, San Diego, CA 92121. The listed phone number is (858) 202-1822.

What is Kristina Reynosa's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kristina Reynosa enrolled in Medicare?

Yes. Kristina Reynosa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristina Reynosa was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.