Kevin Carleton Seymour, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY14375 Issued in CA

Practice address

501 Atkins St
Ridgecrest, CA 93555-2501

Phone

(760) 446-5515

Fax

(760) 446-7234

NPI assigned

Aug 31, 2006

Sex

Male

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

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Center for Personal and Family Counseling

  • Counseling Psychologist
  • Ridgecrest, CA
  • NPI 1770062150
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1326159278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 ATKINS ST",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935552501",
            "telephone_number": "760-446-5515",
            "fax_number": "760-446-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ATKINS ST",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935552501",
            "telephone_number": "760-446-5515",
            "fax_number": "760-446-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "KEVIN",
        "middle_name": "CARLETON",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY14375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana M Scott
• Tania Eva Scott
• Santiago Sedillo, LMFT
• Select CS Physical Therapy, P.C.
• Janet Lee Seltzer, R.PH.
• Michael Shahangian, M.D.
• Tammy Lynn Shanks
• Amanda Sharp, AMFT, APCC
• Susan Shaw, MSW
• Charles A Shull, M.D.

• Clinical Psychologist in Ridgecrest, CA
• Providers in Ridgecrest, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.