Active NPI
Casey Kerr, LEP
- School Psychologist
- San Ramon, CA
National Provider Identifier
1316828932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 4587
- Practice address
- 9870 Broadmoor Dr
San Ramon, CA 94583-2942 - Phone
- (925) 575-7084
- NPI assigned
- Sep 10, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 230054283 | CA | |
| School Psychologist | 103TS0200X | 4587 | CA | Primary |
Addresses
Primary practice location
9870 Broadmoor Dr
San Ramon, CA 94583-2942
Mailing address
202 Compton Cir Apt C
San Ramon, CA 94583-1688
Phone (925) 575-7084
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230054283 | CA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1316828932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 COMPTON CIR APT C",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945831688",
"telephone_number": "925-575-7084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9870 BROADMOOR DR",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945832942",
"telephone_number": "925-575-7084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "CASEY",
"credential": "LEP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-10",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "230054283",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "4587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.