James Paul Kalivas, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY28521 Issued in CA

Practice address

23838 Pacific Coast Hwy
Unit 2291
Malibu, CA 90265-1497

Phone

(818) 448-0549

NPI assigned

Jun 8, 2012

Sex

Male

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

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Santa Monica Therapy, a Psychology Corporation

  • Clinical Psychologist
  • Santa Monica, CA
  • NPI 1962967372
  NPD (past)

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1477815272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23838 PACIFIC COAST HWY",
            "address_2": "#2291",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902651497",
            "telephone_number": "424-645-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23838 PACIFIC COAST HWY",
            "address_2": "UNIT 2291",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902651497",
            "telephone_number": "818-448-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIVAS",
        "first_name": "JAMES",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-08",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Janine Johnson
• Zachary Johnston, PT, DPT, OCS
• Jennifer Jones, PHD
• Joseph J Barrows PLLC
• Dalila Jusic-Laberge, MFT
• Marni Kamins, LMFT
• Karmen Kamla, MA
• Patrick Kenney, APCC
• Barbara Ketcham
• Key Treatment 1 LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.