Active NPI
Keri L Ross, PSY.D.
- Psychologist
- Santa Clarita, CA
National Provider Identifier
1275604464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY17660
- Practice address
- 23560 Lyons Ave
Suite 205
Santa Clarita, CA 91321-2521 - Phone
- (661) 287-3751
- NPI assigned
- Nov 11, 2006
- Sex
- Female
- 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 | PSY17660 | CA | Primary |
Addresses
Primary practice location
23560 Lyons Ave
Suite 205
Santa Clarita, CA 91321-2521
Mailing address
23560 Lyons Ave
Suite 205
Santa Clarita, CA 91321-2521
Phone (661) 287-3751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY17660 | Other | CA | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Dec 10, 2025 through Dec 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY17660 | CA | MD | Psychologist |
| 17660 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275604464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23560 LYONS AVE",
"address_2": "SUITE 205",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913212521",
"telephone_number": "661-287-3751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23560 LYONS AVE",
"address_2": "SUITE 205",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913212521",
"telephone_number": "661-287-3751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "KERI",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY17660",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "PSY17660",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Clarita, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.