Active NPI
Hannah N Krueger, PSY. D.
- Health Psychologist
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Psychologist
- License
- PSY32038
- Practice address
- 1530 East Chevy Chase Drive
Suite #204
Glendale, CA 91206-4139 - Phone
- (818) 230-7292
- Fax
- (818) 660-2694
- NPI assigned
- Sep 17, 2020
- 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 |
|---|---|---|---|---|
| Health Psychologist | 103TH0004X | PSY32038 | CA | Primary |
Addresses
Primary practice location
1530 East Chevy Chase Drive
Suite #204
Glendale, CA 91206-4139
Mailing address
P.O. Box 251377
Glendale, CA 91225-1377
Phone (818) 230-7292
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1530 E Chevy Chase Dr
Suite 204
Glendale, CA 91206-4139
Phone (818) 230-7292
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY32038 | CA | MD | Health Psychologist |
| 32038 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calzadilla Psychological Inc | Single Specialty | Current | Accepting new patients |
Locations
201 S Buena Vista St
Ste 240
Burbank, CA 91505
Phone (818) 563-9590
1530 E Chevy Chase Dr
Ste 204
Glendale, CA 91206
Phone (818) 241-7246
6801 Park Ter
Ste 250
Los Angeles, CA 90045
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1104432004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 251377",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912251377",
"telephone_number": "818-230-7292",
"fax_number": "818-660-2694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 EAST CHEVY CHASE DRIVE",
"address_2": "SUITE #204",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064139",
"telephone_number": "818-230-7292",
"fax_number": "818-660-2694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUEGER",
"first_name": "HANNAH",
"middle_name": "N",
"credential": "PSY. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-17",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0004X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Health",
"state": "CA",
"license": "PSY32038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.