Organization Active NPI

Dr. Stephanie Kann Psychologist PC

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1386357952
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
DR. STEPHANIE KANN PSYCHOLOGIST PC
Practice address
5440 Franklin Ave # 318
Los Angeles, CA 90027-1614
Phone
(310) 560-6190
NPI assigned
Dec 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Dr. Stephanie Kann, PSYDNPI 1780978395
Title
President
Phone
(310) 560-6190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

5440 Franklin Ave # 318
Los Angeles, CA 90027-1614

Mailing address

5440 Franklin Ave # 318
Los Angeles, CA 90027-1614
Phone (310) 560-6190

Other practice location 1

533 2nd St Ste 114
Encinitas, CA 92024-3558
Phone (310) 560-6190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230313002962 DC Part B Supplier - Clinic/Group Practice 9830563998 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, VA
O20241206000590 CA Part B Supplier - Clinic/Group Practice 9830563998 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1386357952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 FRANKLIN AVE # 318",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271614",
            "telephone_number": "310-560-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 FRANKLIN AVE # 318",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271614",
            "telephone_number": "310-560-6190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "533 2nd St Ste 114",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920243558",
            "country_code": "US",
            "telephone_number": "310-560-6190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. STEPHANIE KANN PSYCHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "KANN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-560-6190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.