Amanda N. Kendrick, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 23770 Issued in CA

Practice address

595 E Colorado Blvd Ste 324
Pasadena, CA 91101-2021

Phone

(818) 839-1365

Fax

(626) 385-4871

NPI assigned

Sep 10, 2007

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Amanda Kendrick, Psy.D., Licensed Clinical Psychologist Inc.

  • Psychologist
  • Fullerton, CA
  • NPI 1174302483
  NPD Authorized official

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1154516409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 324",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012021",
            "telephone_number": "818-839-1365",
            "fax_number": "626-385-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 324",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012021",
            "telephone_number": "818-839-1365",
            "fax_number": "626-385-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "AMANDA",
        "middle_name": "N.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 23770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevonna Kelly
• Riley Kelly
• Morris Kellybrew, CADAC-CAS
• Trenton Kemp
• Jonathan Michael Kendall, LMFT
• Kailey Kennally
• Kenneth R. Sabbag MD PC
• Sydney Kenney
• Terrie Kennon
• Rebecca Renee Kenz

• Clinical Psychologist in Pasadena, CA
• Providers in Pasadena, 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 25, 2018; 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.

Verify at the official NPI Registry.