Active NPI
Kathleen Kawamura, PHD
- Clinical Psychologist
- Carlsbad, CA
National Provider Identifier
1053950634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 19507
- Practice address
- 2604-B El Camino Real
#405
Carlsbad, CA 92008-1205 - Phone
- (760) 295-3988
- NPI assigned
- Dec 31, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 19507 | CA | Primary |
Addresses
Primary practice location
2604-B El Camino Real
#405
Carlsbad, CA 92008-1205
Mailing address
2604-B El Camino Real
#405
Carlsbad, CA 92008-1205
Phone (760) 295-3988
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": "1577750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596153600000",
"number": "1053950634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2604-B EL CAMINO REAL",
"address_2": "#405",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081205",
"telephone_number": "760-295-3988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2604-B EL CAMINO REAL",
"address_2": "#405",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081205",
"telephone_number": "760-295-3988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAWAMURA",
"first_name": "KATHLEEN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-31",
"last_updated": "2020-07-31",
"certification_date": "2020-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "19507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.