DR. KRISTINA BROSIUS-RODRIGUEZ
NPI 1902960446
Psychologist in Laguna Niguel, CA

Active since December 20, 2006PECOS EnrolledAccepts Medicare Assignment
30011 IVY GLENN DR STE 120, LAGUNA NIGUEL, CA 92677(714) 812-1916(949) 305-8286 Get Directions Write a Review

NPPES record last updated: April 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kristina Brosius-rodriguez NPPES

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

DR. KRISTINA BROSIUS-RODRIGUEZ (NPI 1902960446) is an individual psychologist in Laguna Niguel, California and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1902960446
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KRISTINA BROSIUS-RODRIGUEZ
Location Address30011 IVY GLENN DR STE 120Laguna Niguel, CA 92677-5041
Mailing Address90 Vantis Dr Unit 6021Aliso Viejo, CA 92656-2547 · (714) 812-1916 · Fax (949) 305-8286
Fax(949) 305-8286
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateDecember 20, 2006
Last NPPES UpdateApril 14, 2024
NPPES CertifiedApril 14, 2024
✔ NPI 1902960446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
30011 IVY GLENN DR STE 120, Laguna Niguel, CA 92677

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kristina Brosius-rodriguez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153416581
PECOS Enrollment IDI20190325002025
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.

Medicare Billing Reassignment

Medicare enrollment records show Kristina Brosius-rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
30011 IVY GLENN DR STE 120
Laguna Niguel, CA 92677
  • Reassigned Medicare billing, California enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

Psychologist
30011 IVY GLENN DR STE 120
LAGUNA NIGUEL, CA 92677
Psychologist (Clinical)
30011 IVY GLENN DR STE 120
LAGUNA NIGUEL, CA 92677

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 Brosius-rodriguez's NPI number?

The NPI number for Kristina Brosius-rodriguez is 1902960446. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Kristina Brosius-rodriguez located?

Kristina Brosius-rodriguez practices at 30011 Ivy Glenn Dr Ste 120, Laguna Niguel, CA 92677. The listed phone number is (714) 812-1916.

What is Kristina Brosius-rodriguez's specialty?

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

Is Kristina Brosius-rodriguez enrolled in Medicare?

Yes. Kristina Brosius-rodriguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kristina Brosius-rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Brosius-rodriguez reassigns Medicare benefits to Kr Psychological Services, Inc (Laguna Niguel, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristina Brosius-rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristina Brosius-rodriguez was last updated on April 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.