Kathryn Manetta, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY22795 Issued in CA

Practice address

6615 E Pacific Coast Hwy
Suite 255
Long Beach, CA 90803-4211

Phone

(562) 799-6700

Fax

(562) 799-6733

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Loma Linda University School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Belmont Psychological Services, a Psychology CorporationGroup PAC ID 3870805849, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Belmont Psychological Services, a Psychology Corporation

  • Psychologist
  • Long Beach, CA
  • NPI 1194104562
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1265658454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 E PACIFIC COAST HWY",
            "address_2": "SUITE 255",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034211",
            "telephone_number": "562-799-6700",
            "fax_number": "562-799-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 E PACIFIC COAST HWY",
            "address_2": "SUITE 255",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034211",
            "telephone_number": "562-799-6700",
            "fax_number": "562-799-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANETTA",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY22795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aileen Manalu, DNP, CRNA
• Juan Mandujano
• Alex Maneffa, MD
• Shereen R Manesh, D.C.
• Alyssa Marie Manetta, MA
• Krystle Ashley Mangabat
• Rebecca Mangan, LCSW
• Michelle E Mangel
• Teena Marie Manginelli, MA
• Reginald Jay Mangone, CMT

• Psychologist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.

Verify at the official NPI Registry.