Amy Ellyn Kline, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY15303 Issued in CA

Practice address

720 Main St Ste B
Woodland, CA 95695-3407

Phone

(530) 666-7434

Fax

(530) 666-7434

NPI assigned

Dec 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242345600000",
    "number": "1043376254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 MAIN ST STE B",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953407",
            "telephone_number": "530-666-7434",
            "fax_number": "530-666-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MAIN ST STE B",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953407",
            "telephone_number": "530-666-7434",
            "fax_number": "530-666-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "AMY",
        "middle_name": "ELLYN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2009-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY15303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY015303",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roseanne Kim, LMFT
• Melanie King, B.A
• Sabina Kish
• Linda Klaman, OTR
• Gregory Scott Klein, L.AC.
• Peter J Koch, M.D.
• Jeffrey George Kohlhardt, DDS
• David Michael Kollhoff, MD
• Marghalera Komak, DMD
• Susan Koo, P.T.

• Psychologist in Woodland, CA
• Providers in Woodland, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.