Kayla Konish, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

32183 Issued in CA

Practice address

4001 King Ave
Corcoran, CA 93212-9611

Phone

(805) 760-0746

NPI assigned

Nov 4, 2020

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

• Kayla Kinworthy Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 4, 2020.

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1164023396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 MONTANA DE ORO ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932747403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 KING AVE",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "932129611",
            "telephone_number": "805-760-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONISH",
        "first_name": "KAYLA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "32183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "KINWORTHY",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Raquel Rivera Keo
• Sung Yeon Kim, PHARMD
• Reba Kimber-Nelson, LCSW
• Kings View Counseling Services for Kings Count
• Kevin Maurice Knight, M.D.
• Andrea Lackovic, PSY.D.
• Philip Laclaire, PSY.D.
• Brandi Lane, PSYD
• James Lehman, PH.D
• Michael Lipps, ASW

• All providers in Corcoran, CA
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.