Active NPI
Kenneth Mark Cinnamon, PHD
- Psychologist
- Sherman Oaks, CA
National Provider Identifier
1023655875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20890
- Practice address
- 4021 Stoneybrook Dr
Sherman Oaks, CA 91403-4549 - Phone
- (818) 929-8204
- NPI assigned
- Nov 27, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 20890 | CA | Primary |
Addresses
Primary practice location
4021 Stoneybrook Dr
Sherman Oaks, CA 91403-4549
Mailing address
4021 Stoneybrook Dr
Sherman Oaks, CA 91403-4549
Phone (818) 929-8204
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574812800000",
"number": "1023655875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4021 STONEYBROOK DR",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914034549",
"telephone_number": "818-929-8204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4021 STONEYBROOK DR",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914034549",
"telephone_number": "818-929-8204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CINNAMON",
"first_name": "KENNETH",
"middle_name": "MARK",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-27",
"last_updated": "2019-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "20890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.