Active NPI
Kathy Lynn Parish
- Clinical Psychologist
- West Covina, CA
National Provider Identifier
1174548242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY7516
- Practice address
- 919 N Sunset Ave
West Covina, CA 91790-1244 - Phone
- (800) 257-8715
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 | PSY7516 | CA | Primary |
Addresses
Primary practice location
919 N Sunset Ave
West Covina, CA 91790-1244
Mailing address
1609 Bushnell Ave
South Pasadena, CA 91030-4901
Phone (626) 441-4861
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY075160 | Medicaid | CA | |
| PSY075160 | Other | CA | LOS ANGELES COUNTY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY7516 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174548242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 BUSHNELL AVE",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910304901",
"telephone_number": "626-441-4861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 N SUNSET AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917901244",
"telephone_number": "800-257-8715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARISH",
"first_name": "KATHY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY7516",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PSY075160",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOS ANGELES COUNTY",
"identifier": "PSY075160",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.