Individual provider Active NPI

Kara Lee Winter, PH.D.

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1144391301
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
17116 Issued in CA
Practice address
11500 W Olympic Blvd Ste 580
Los Angeles, CA 90064-1537
Phone
(510) 552-4241
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 17116 CA Primary

Addresses

Primary practice location

11500 W Olympic Blvd Ste 580
Los Angeles, CA 90064-1537

Mailing address

11500 W Olympic Blvd Ste 580
Los Angeles, CA 90064-1537
Phone (510) 552-4241

Other names 1

  • Dr. Kara Lee Winter Other name

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
I20071129000630 CA Practitioner - Clinical Psychologist 7113016015 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
An Elegant Sufficiency, a Psychological Corporation CurrentSince Sep 19, 2022 Accepting new patients
A Step Forward Past Accepting new patients

Locations

2431 W March Ln
Ste 200
Stockton, CA 95207
Phone (209) 200-8305

35 E 10th St
Ste E3
Tracy, CA 95376
Phone (209) 831-3132

Organizations & group practices 2

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1144391301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 W OLYMPIC BLVD STE 580",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641537",
            "telephone_number": "510-552-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 W OLYMPIC BLVD STE 580",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641537",
            "telephone_number": "510-552-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTER",
        "first_name": "KARA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "17116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "WINTER",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.