Nadine Mary Kolo

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

180134772 Issued in CA

Practice address

2037 Indiana St
West Covina, CA 91792-2464

Phone

(909) 263-1933

NPI assigned

Oct 27, 2021

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1396409165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W 6TH ST",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917026785",
            "telephone_number": "800-275-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 INDIANA ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917922464",
            "telephone_number": "909-263-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLO",
        "first_name": "NADINE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "180134772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farnaz Kohan, DDS
• Joshua Kohan, DMD
• Ammey Kohen
• Koi Marriage and Family Therapy
• Denis J Kollar, MD
• Nithya Reddy Kona, DO
• Paul C. Koo, PHARM.D.
• John C Koumas, D.O.
• Kouz and Bato Dental Partnership
• Rami Mouzayek Kouz, DDS

• School Psychologist in West Covina, CA
• Providers in West Covina, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.