Kristopher Curtis Kern

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

UNLICENSED Issued in NV

Practice address

2425 Bisso LN
Concord, CA 94520-4897

Phone

(925) 521-5715

NPI assigned

Jun 29, 2015

Reactivated

Aug 7, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medens HealthGroup PAC ID 4880014877, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Medens Health

  • Clinical Psychologist
  • San Francisco, CA
  • NPI 1003431784
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1417330267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 AWIKIWIKI ST",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967821323",
            "telephone_number": "808-479-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 BISSO LN",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204897",
            "telephone_number": "925-521-5715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2175 Awikiwiki St",
            "address_purpose": "LOCATION",
            "city": "Pearl City",
            "state": "HI",
            "postal_code": "967821323",
            "country_code": "US",
            "telephone_number": "808-479-3978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERN",
        "first_name": "KRISTOPHER",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "deactivation_date": "2019-07-12",
        "reactivation_date": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "UNLICENSED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamryn Kepa
• Shir Keren
• Diana Daniel Kerenge
• Mia Jane Kerl
• Iryna Kermach
• Melissa Kersten, MFT
• Cheshmeh Keshmiri
• Jessica Keslinke
• Ketamine Infusion Associates, Inc.
• Ilunga Kazadi Kevyne

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.