Active NPI
Michael Kanell, M.D.
- Psychiatry Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A153023
- Practice address
- 760 Westwood PLZ Ste 37-384
Los Angeles, CA 90024-5055 - Phone
- (310) 825-1289
- NPI assigned
- Apr 15, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | A153023 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Psychiatry Physician | 2084P0800X | A153023 | CA | Primary |
Addresses
Primary practice location
760 Westwood PLZ Ste 37-384
Los Angeles, CA 90024-5055
Mailing address
760 Westwood PLZ Ste 37-384
Los Angeles, CA 90024-5055
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180823002086 | CA | Practitioner - Psychiatry | 0042569071 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A153023 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kanell & Zhu, M.D., Inc. | Forensic Psychiatry | Current | Accepting new patients |
| County of Los Angeles | Current | Accepting new patients | |
| Jewish Family Service of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| Amae Health Medical Associates, PC | Current | Accepting new patients | |
| Amae Health Services LLC | Past | Accepting new patients |
Locations
167 S San Antonio Rd
Ste 2
Los Altos, CA 94022
Phone (310) 601-5099
11620 Wilshire Blvd
Ste 520
Los Angeles, CA 90025
Phone (310) 601-5099
1762 Westwood Blvd
Ste 310
Los Angeles, CA 90024
Phone (213) 399-4163
330 N Fairfax Ave
Los Angeles, CA 90036
Phone (323) 937-5900
12821 Victory Blvd
North Hollywood, CA 91606
Phone (818) 432-5025
3061 Fillmore St
San Francisco, CA 94123
Phone (415) 292-3440
1900 Ofarrell St
Ste 250
San Mateo, CA 94403
Phone (310) 601-5099
14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303
Organizations & group practices 6
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.
-
- Adult Mental Health Clinic/Center
- Los Angeles, CA
- NPI 1346958295
CA
-
- Voluntary or Charitable Agency
- Los Angeles, CA
- NPI 1144244591
CA
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
- Adult Mental Health Clinic/Center
- Los Angeles, CA
- NPI 1902594005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1124472212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 WESTWOOD PLZ STE 37-384",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 WESTWOOD PLZ STE 37-384",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245055",
"telephone_number": "310-825-1289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANELL",
"first_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-15",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "CA",
"license": "A153023",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A153023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.