Organization Active NPI

Katie Enney Psychologist Inc

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1245787340
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY28571 Issued in CA
Legal business name
KATIE ENNEY PSYCHOLOGIST INC
Practice address
2898 Rowena Ave
Suite 206
Los Angeles, CA 90039-2020
Phone
(818) 583-7134
NPI assigned
Sep 7, 2016
Last updated
Sep 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Authorized official

Name
Dr. Katie Enney, PSY.D.NPI 1144776246
Title
President
Phone
(818) 583-7134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY28571 CA Primary

Addresses

Primary practice location

2898 Rowena Ave
Suite 206
Los Angeles, CA 90039-2020

Mailing address

1941 New York Dr
Altadena, CA 91001-3425
Phone (818) 583-7134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161208001832 CA Part B Supplier - Clinic/Group Practice 0941580930 Receives reassigned benefits from 3 practitioners
Practice locations: La Crescenta, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1245787340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 NEW YORK DR",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910013425",
            "telephone_number": "818-583-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2898 ROWENA AVE",
            "address_2": "SUITE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392020",
            "telephone_number": "818-583-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE ENNEY PSYCHOLOGIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "ENNEY",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-583-7134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY28571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.