Kristen Riedle, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

33305 Issued in CA

Practice address

12100 Valley Blvd
El Monte, CA 91732-3100

Phone

(626) 618-5653

NPI assigned

May 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Core a Licensed Clinical Social Worker Corporation

  • Clinical Social Worker
  • Monrovia, CA
  • NPI 1326762931
  Medicare reassignment NPD

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694217600000",
    "number": "1114592136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 VALLEY BLVD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917323100",
            "telephone_number": "626-618-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 VALLEY BLVD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917323100",
            "telephone_number": "626-618-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDLE",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2023-09-09",
        "certification_date": "2023-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "33305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josue Reynoso Jr.
• Robert Reynoso
• Jacob T Richards, LMT, NMT
• James Harold Richardson Jr., D.C.
• Cristian Rico, M.D.
• Rachel Riley
• John Andrew Rincon Jr., AOD COUNSELOR
• Claudia Rios, R.D.
• Leonel Rios
• Miriam Rios

• Clinical Psychologist in El Monte, CA
• Providers in El Monte, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.
• 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.