Active NPI
Jody Kussin, PH.D.
- Psychologist
- Valley Village, CA
National Provider Identifier
1184890550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 11937
- Practice address
- 12609 Killion St
Valley Village, CA 91607-1534 - Phone
- (818) 414-2279
- NPI assigned
- May 5, 2008
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 11937 | CA | Primary |
Addresses
Primary practice location
12609 Killion St
Valley Village, CA 91607-1534
Mailing address
12609 Killion St
Valley Village, CA 91607-1534
Phone (818) 414-2279
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 11937 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462492800000",
"number": "1184890550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12609 KILLION ST",
"city": "VALLEY VILLAGE",
"state": "CA",
"postal_code": "916071534",
"telephone_number": "818-414-2279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12609 KILLION ST",
"city": "VALLEY VILLAGE",
"state": "CA",
"postal_code": "916071534",
"telephone_number": "818-414-2279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSSIN",
"first_name": "JODY",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-05",
"last_updated": "2016-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 11937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.