Individual provider Active NPI

Karen Anita Zelaya-Kendall, PH.D.

  • Clinical Psychologist
  • La Jolla, CA
National Provider Identifier
1063686111
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY34533 Issued in CA
Practice address
888 Prospect St Ste 200
La Jolla, CA 92037-4261
Phone
(484) 557-2367
Fax
(484) 840-5613
NPI assigned
Apr 19, 2008
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging Psychologist 103TA0700X PS016415 PA
Clinical Psychologist 103TC0700X PS016415 PA
Clinical Psychologist 103TC0700X PSY34533 CA Primary
Intellectual & Developmental Disabilities Psychologist 103TM1800X PS016415 PA

Addresses

Primary practice location

888 Prospect St Ste 200
La Jolla, CA 92037-4261

Mailing address

1650 Market St Ste 3600
Philadelphia, PA 19103-7334
Phone (484) 557-2367

Other practice location 1

1650 Market St Ste 3600
Philadelphia, PA 19103-7334
Phone (484) 557-2367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120516000524 PA Practitioner - Clinical Psychologist 6305009028 Reassigns benefits to 1 organization
Practice locations: Philadelphia, PA
I20260428000633 NY Practitioner - Clinical Psychologist 6305009028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1650 Market St
Suite 3600
Philadelphia, PA 19103-7334
Phone (484) 557-2367

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY34533CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Zelaya-Kendall, PH.D. and Associates, LLC Clinical CurrentSince Mar 1, 2018 Accepting new patients

Locations

1650 Market St
Ste 3600
Philadelphia, PA 19103
Phone (267) 362-3232

1845 Walnut St
Ste 1555
Philadelphia, PA 19103
Phone (484) 557-2367

1845 Walnut St
Ste 865
Philadelphia, PA 19103
Phone (484) 557-2367

Organizations & group practices 2

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": "1208563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1063686111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 MARKET ST STE 3600",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191037334",
            "telephone_number": "484-557-2367",
            "fax_number": "484-840-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 PROSPECT ST STE 200",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374261",
            "telephone_number": "484-557-2367",
            "fax_number": "484-840-5613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Market St Ste 3600",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191037334",
            "country_code": "US",
            "telephone_number": "484-557-2367",
            "fax_number": "484-840-5613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZELAYA-KENDALL",
        "first_name": "KAREN",
        "middle_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-19",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "PA",
            "license": "PS016415",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016415",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY34533",
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "PA",
            "license": "PS016415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.