DR. KARYN M SANDBURG PSYCH MFT
NPI 1720194814
Psychologist in Tustin, CA

Active since August 22, 2006Opted out of Medicare · through Jan 1, 2027
14751 PLAZA DRIVE STE F, TUSTIN, CA 92780(714) 665-4343(714) 544-4472 Get Directions Write a Review

NPPES record last updated: September 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Karyn M Sandburg Psych Mft NPPES

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

DR. KARYN M SANDBURG PSYCH MFT (NPI 1720194814) is an individual psychologist in Tustin, California, licensed in California (PSY14450) and active in the NPI registry since August 2006. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1720194814
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KARYN M SANDBURGCredential: PSYCH MFT
Location Address14751 PLAZA DRIVE STE FTustin, CA 92780
Mailing Address14751 Plaza Drive Ste FTustin, CA 92780 · (714) 665-4343 · Fax (714) 544-4472
Fax(714) 544-4472
Sole ProprietorNo
Enumeration DateAugust 22, 2006
Last NPPES UpdateSeptember 18, 2008
NPI 1720194814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY14450
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License MFT16598 (CA)
14751 PLAZA DRIVE STE F, Tustin, CA 92780

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Karyn M Sandburg Psych Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2017 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2017
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Karyn Sandburg's NPI number?

The NPI number for Karyn Sandburg is 1720194814. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Karyn Sandburg located?

Karyn Sandburg practices at 14751 Plaza Drive Ste F, Tustin, CA 92780. The listed phone number is (714) 665-4343.

What is Karyn Sandburg's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Karyn Sandburg enrolled in Medicare?

No. Karyn Sandburg has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Karyn Sandburg accept?

Health plans from Providence Health Plan list Karyn Sandburg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karyn Sandburg was last updated on September 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.