Ilene S Kusens, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY19463 Issued in CA

Practice address

12401 Wilshire Blvd
Suite #306
Los Angeles, CA 90025-1085

Phone

(310) 424-5848

Fax

(310) 209-8456

NPI assigned

May 1, 2007

Last updated

Apr 22, 2008By the provider in NPPES

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1467673921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 WILSHIRE BLVD",
            "address_2": "SUITE #306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251085",
            "telephone_number": "310-424-5848",
            "fax_number": "310-209-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 WILSHIRE BLVD",
            "address_2": "SUITE #306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251085",
            "telephone_number": "310-424-5848",
            "fax_number": "310-209-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSENS",
        "first_name": "ILENE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY19463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Elizabeth Kurzbard-Roach, M.D.
• Phillip M. Kurzner, MD
• Kristina Rose Kurzweil
• Kochakorn Kongkaew Kus
• William Ryan Kus, ACSW
• Pamela R Kushner, M.D.
• Hannah Kushnick
• Alisa Kusolvisitkul, PHARMD
• Melanie Kusonruksa, M.D.
• Steven Russell Kussman, M.D.

• Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.