Active NPI
Kendra Klassen, PSY.D.
- Clinical Psychologist
- Lake Forest, CA
National Provider Identifier
1437563327
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Aug 20, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 18606
- Practice address
- 23792 Rockfield Blvd Ste 290
Lake Forest, CA 92630-2819 - Phone
- (949) 303-8933
- NPI assigned
- Jun 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 18606 | CA | Primary |
Addresses
Primary practice location
23792 Rockfield Blvd Ste 290
Lake Forest, CA 92630-2819
Mailing address
23792 Rockfield Blvd Ste 290
Lake Forest, CA 92630-2819
Phone (949) 303-8933
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 18606 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403049600000",
"number": "1437563327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23792 ROCKFIELD BLVD STE 290",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926302819",
"telephone_number": "949-303-8933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23792 ROCKFIELD BLVD STE 290",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926302819",
"telephone_number": "949-303-8933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLASSEN",
"first_name": "KENDRA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-18",
"last_updated": "2014-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 18606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.