Individual provider Active NPI

Kathi Caine Studden, PSY.D.

  • Clinical Psychologist
  • Valencia, CA
National Provider Identifier
1144355884
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 15875 Issued in CA
Practice address
25000 Avenue Stanford Ste 214
Valencia, CA 91355-4596
Phone
(661) 287-1676
Fax
(909) 946-3247
NPI assigned
Feb 22, 2007
Last updated
Nov 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 15875 CA Primary

Addresses

Primary practice location

25000 Avenue Stanford Ste 214
Valencia, CA 91355-4596

Mailing address

25000 Avenue Stanford Ste 214
Valencia, CA 91355-4596
Phone (661) 287-1676

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406001158 CA Practitioner - Clinical Psychologist 3476546334 Practice locations: Valencia, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25000 Ave Stanford
Suite 214
Valencia, CA 91355-1224
Phone (661) 287-1676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY 15875CAMDClinical Psychologist
15875CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1144355884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25000 AVENUE STANFORD STE 214",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554596",
            "telephone_number": "661-287-1676",
            "fax_number": "909-946-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25000 AVENUE STANFORD STE 214",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554596",
            "telephone_number": "661-287-1676",
            "fax_number": "909-946-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUDDEN",
        "first_name": "KATHI",
        "middle_name": "CAINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 15875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.