Individual provider Active NPI

Katie Enney, PSY.D.

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1144776246
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY28571 Issued in CA
Practice address
2898 Rowena Ave
Suite 206
Los Angeles, CA 90039-2020
Phone
(818) 583-7134
NPI assigned
Aug 29, 2016
Last updated
Sep 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY28571 CA Primary

Addresses

Primary practice location

2898 Rowena Ave
Suite 206
Los Angeles, CA 90039-2020

Mailing address

2898 Rowena Ave
Suite 206
Los Angeles, CA 90039-2020
Phone (818) 583-7134

Other names 1

  • Dr. Katie Enney 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
I20161208001971 CA Practitioner - Clinical Psychologist 1850671843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Katie Enney Psychologist IncGroup PAC ID 0941580930, 3 clinicians

Practice addresses (Care Compare)

2512 Foothill Blvd
La Crescenta, CA 91214-3506
Phone (818) 583-7134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY28571CAMDPsychologist
28571CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Katie Enney Psychologist Inc Psychologist CurrentSince Aug 15, 2016 Accepting new patients
Building Lasting Success Together a Professional Psychotherapy Corpora Current Accepting new patients

Locations

2898 Rowena Ave
Ste 206
Los Angeles, CA 90039
Phone (213) 873-6133

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1144776246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2898 ROWENA AVE",
            "address_2": "SUITE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392020",
            "telephone_number": "818-583-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2898 ROWENA AVE",
            "address_2": "SUITE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392020",
            "telephone_number": "818-583-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNEY",
        "first_name": "KATIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY28571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "ENNEY",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.