Active NPI
Cecily Kahn, LCSW
- Psychologist
- Culver City, CA
National Provider Identifier
1235253949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LCS 7873
- Practice address
- 5601 W Slauson Ave
Suite 287
Culver City, CA 90230-6590 - Phone
- (310) 338-9108
- Fax
- (310) 338-9108
- NPI assigned
- Mar 19, 2007
- 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 | LCS 7873 | CA | Primary |
Addresses
Primary practice location
5601 W Slauson Ave
Suite 287
Culver City, CA 90230-6590
Mailing address
5601 W Slauson Ave
Suite 287
Culver City, CA 90230-6590
Phone (310) 338-9108
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050813000226 | CA | Practitioner - Clinical Social Worker | 0345270930 | Practice locations: Culver City, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5601 W Slauson Ave
Suite 287
Culver City, CA 90230-6590
Phone (310) 338-9108
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 7873 | CA | MD | Psychologist |
| 7873 | CA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235253949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 W SLAUSON AVE",
"address_2": "SUITE 287",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306590",
"telephone_number": "310-338-9108",
"fax_number": "310-338-9108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 W SLAUSON AVE",
"address_2": "SUITE 287",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306590",
"telephone_number": "310-338-9108",
"fax_number": "310-338-9108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "CECILY",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "LCS 7873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.