Active NPI
Steven M. Kadin, PH.D.
- Psychologist
- San Luis Obispo, CA
National Provider Identifier
1235287574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY14766
- Practice address
- 1264 Higuera St Ste 206
San Luis Obispo, CA 93401-3129 - Phone
- (805) 546-3774
- Fax
- (805) 781-9045
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | PSY14766 | CA | Primary |
Addresses
Primary practice location
1264 Higuera St Ste 206
San Luis Obispo, CA 93401-3129
Mailing address
3163 Rose Ave
San Luis Obispo, CA 93401-5957
Phone (805) 541-1888
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY14766 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235287574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3163 ROSE AVE",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934015957",
"telephone_number": "805-541-1888",
"fax_number": "805-781-9045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1264 HIGUERA ST STE 206",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934013129",
"telephone_number": "805-546-3774",
"fax_number": "805-781-9045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KADIN",
"first_name": "STEVEN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY14766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Luis Obispo, 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.