Individual provider Active NPI

Andrea Lau Kao, PSY.D.

  • Clinical Psychologist
  • Carlsbad, CA
National Provider Identifier
1033305404
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
29366 Issued in CA
Practice address
5838 Edison PL Ste 100
Carlsbad, CA 92008-5520
Phone
(760) 300-3664
NPI assigned
Sep 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 29366 CA Primary

Addresses

Primary practice location

5838 Edison PL Ste 100
Carlsbad, CA 92008-5520

Mailing address

1425 Beech St
South Pasadena, CA 91030-4601
Phone (626) 531-5110

Other practice location 1

790 E Colorado Blvd Fl 9
Pasadena, CA 91101-2193
Phone (626) 531-5110

Other practice location 2

1891 Effie St
Los Angeles, CA 90026-1711
Phone (323) 644-2000 ext. 201

Other names 1

  • Dr. Andrea Lau Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
29366CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kao Psychological Services PC Current Accepting new patients

Locations

1055 E Colorado Blvd
Fl 5
Pasadena, CA 91106
Phone (626) 788-6634

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1033305404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 BEECH ST",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304601",
            "telephone_number": "626-531-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5838 EDISON PL STE 100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920085520",
            "telephone_number": "760-300-3664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 E Colorado Blvd Fl 9",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911012193",
            "country_code": "US",
            "telephone_number": "626-531-5110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1891 Effie St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900261711",
            "country_code": "US",
            "telephone_number": "323-644-2000 x201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAO",
        "first_name": "ANDREA",
        "middle_name": "LAU",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "29366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "LAU",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.