Debbi Rae Kooyman, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20091 Issued in CA

Practice address

16052 Beach Blvd Ste 214
Huntington Beach, CA 92647-3851

Phone

(714) 225-0815

Fax

(714) 841-7474

NPI assigned

Sep 13, 2006

Last updated

Mar 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kooyman Psychological Services, Inc.

  • Clinical Psychologist
  • Huntington Beach, CA
  • NPI 1558613109
  Authorized official Same address or phone
• Aspira Wellness & Education Center Inc.

  dba Family Service

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Long Beach, CA
  • NPI 1932114816
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1194820357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16052 BEACH BLVD STE 214",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473851",
            "telephone_number": "714-225-0815",
            "fax_number": "714-841-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16052 BEACH BLVD STE 214",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473851",
            "telephone_number": "714-225-0815",
            "fax_number": "714-841-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOYMAN",
        "first_name": "DEBBI",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Tetsuo Komae, D.D.S.
• Jamie Kondo
• Dawn Lee Koon, LVN
• Krista Ingrid Koop, D.C.
• Kooyman Psychological Services, Inc.
• Victoria Korotayev
• Lori S Kortkamp, FNP-C
• Gunnayya Chetty Kota, MD
• William Kramp
• Weston Maximilian Krauss, MD

• Clinical Psychologist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.