Active NPI
Uri Kugel, PH.D.
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1164893442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY28642
- Practice address
- 5230 Carroll Canyon Rd
Ste 100
San Diego, CA 92121-1779 - Phone
- (510) 213-8740
- NPI assigned
- Oct 13, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY28642 | CA | Primary |
Addresses
Primary practice location
5230 Carroll Canyon Rd
Ste 100
San Diego, CA 92121-1779
Mailing address
7462 Brentwood St
San Diego, CA 92111-4330
Phone (510) 213-8740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Opted out of Medicare
- Yes, effective Oct 1, 2026 through Oct 1, 2028
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161129001736 | CA | Practitioner - Clinical Psychologist | 0446530976 | Practice locations: San Diego, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY28642 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kendra Penski Licensed Clinical Social Worker Inc | Past | Accepting new patients | |
| Whole Person-Psychotherapy Inc. | Past | Accepting new patients |
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.
-
dba Freedom Within Therapy and Wellness Center
- Clinical Social Worker
- San Diego, CA
- NPI 1548700891
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Diego, CA
- NPI 1932764164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565222400000",
"number": "1164893442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7462 BRENTWOOD ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921114330",
"telephone_number": "510-213-8740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5230 CARROLL CANYON RD",
"address_2": "STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211779",
"telephone_number": "510-213-8740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUGEL",
"first_name": "URI",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-13",
"last_updated": "2019-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY28642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.