Individual provider Active NPI

Karmen Mikel Thulin, PSYD

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1366744393
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0005134 Issued in CO
Practice address
5350 Wilshire Blvd Unit 36182
Los Angeles, CA 90036-8206
Phone
(720) 675-7050
NPI assigned
Nov 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY.0005134 CO Primary

Addresses

Primary practice location

5350 Wilshire Blvd Unit 36182
Los Angeles, CA 90036-8206

Mailing address

5350 Wilshire Blvd Unit 36182
Los Angeles, CA 90036-8206
Phone (918) 852-9395

Other names 1

  • Dr. Karmen Mikel King Anderson Professional name

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

LicenseStateTypeSpecialty
PSY.0005134COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lavender House Psychology, LLC Clinical Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1366744393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 WILSHIRE BLVD UNIT 36182",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900368206",
            "telephone_number": "918-852-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 WILSHIRE BLVD UNIT 36182",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900368206",
            "telephone_number": "720-675-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THULIN",
        "first_name": "KARMEN",
        "middle_name": "MIKEL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-24",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0005134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARMEN",
            "last_name": "KING ANDERSON",
            "middle_name": "MIKEL",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Oct 6, 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.

Verify at the official NPI Registry.