Katrina Rydzewski, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY30831 Issued in CA

Practice address

1990 Westwood Blvd.
Suite 360
Los Angeles, CA 90025

Phone

(248) 755-0621

Fax

(801) 582-5540

NPI assigned

Sep 10, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Children'S Center

  • Mental Health Counselor
  • Salt Lake City, UT
  • NPI 1275566069
  NPD (past)

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1235507997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 WESTWOOD BLVD.",
            "address_2": "SUITE 360",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "248-755-0621",
            "fax_number": "801-582-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 WESTWOOD BLVD.",
            "address_2": "SUITE 360",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "248-755-0621",
            "fax_number": "801-582-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDZEWSKI",
        "first_name": "KATRINA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY30831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariya Rybakova, M.S., CCC-SLP
• Kateryna Rybkina, NP
• Armand Michael Ryden, M.D.
• Ryder on the Go LLC
• Michelle Rhiannon Ryder
• Beth Joy Kaufman Ryker, MSW, LCSW, BCD
• Sara H Rykoff, M.A.
• Ronnae Ryland, LPT
• Rylist, Inc.
• Rymedical Corporation

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.