Active NPI
Danielle Kamis
- Psychiatry Physician
- Los Altos, CA
National Provider Identifier
1073908042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- CA144478
- Practice address
- 164 Main St Ste 201
Los Altos, CA 94022-2921 - Phone
- (401) 375-2647
- NPI assigned
- Apr 6, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | CA144478 | CA | Primary |
Addresses
Primary practice location
164 Main St Ste 201
Los Altos, CA 94022-2921
Mailing address
164 Main St Ste 201
Los Altos, CA 94022-2921
Phone (401) 375-2647
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 20, 2019 through May 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 144478 | CA | MD | Marriage & Family Therapist |
| CA144478 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1073908042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 MAIN ST STE 201",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940222921",
"telephone_number": "401-375-2647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 MAIN ST STE 201",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940222921",
"telephone_number": "401-375-2647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMIS",
"first_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-06",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "CA144478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Altos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.