Sally Kutsunai, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY23945 Issued in CA

Practice address

2790 Skypark Dr
Ste 307
Torrance, CA 90505-5388

Phone

(310) 948-3015

Fax

(310) 394-2409

NPI assigned

May 17, 2011

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1174816615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904060208",
            "telephone_number": "310-948-3015",
            "fax_number": "310-394-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 SKYPARK DR",
            "address_2": "STE 307",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055388",
            "telephone_number": "310-948-3015",
            "fax_number": "310-394-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTSUNAI",
        "first_name": "SALLY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY23945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt F Pickus, M.D. a Medical Corporation
• Janelle Kurtenbach
• Lorena Guadalupe Kurtz
• Jessica Kussman
• Jillian Kusumoto, M.S., CCC-SLP
• Michelle Alyssa Kuwabara, OTD, OTR/L
• Ray Kuwahara, D.D.S.
• John H. Kuwata, M.D.
• Jin Hee Kwak, DDS, MS
• Jaclyn Kwan, P.A.

• Psychologist in Torrance, CA
• Providers in Torrance, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.