Individual provider Active NPI

Deborah M Schwartz Kenigsberg, PSY.D.

  • Clinical Psychologist
  • Agoura Hills, CA
National Provider Identifier
1487929857
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY25406 Issued in CA
Practice address
30200 Agoura Road
Suite 190
Agoura Hills, CA 91301-5431
Phone
(818) 981-7845
Fax
(818) 459-3787
NPI assigned
Mar 17, 2012
Last updated
Aug 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X RPS2011014 CA
Clinical Psychologist 103TC0700X PSY25406 CA Primary

Addresses

Primary practice location

30200 Agoura Road
Suite 190
Agoura Hills, CA 91301-5431

Mailing address

30200 Agoura Road
Suite 190
Agoura Hills, CA 91301-5431
Phone (818) 981-7845

Other names 1

  • Dr. Deborah M Schwartz Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160821000000 CA Practitioner - Clinical Psychologist 9830484591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

30200 Agoura Rd
Suite 190
Agoura Hills, CA 91301-5431
Phone (818) 981-7845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY25406CAMDClinical Psychologist
RPS2011014CAMDClinical Psychologist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1331942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1487929857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30200 AGOURA ROAD",
            "address_2": "SUITE 190",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015431",
            "telephone_number": "818-981-7845",
            "fax_number": "818-459-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 AGOURA ROAD",
            "address_2": "SUITE 190",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015431",
            "telephone_number": "818-981-7845",
            "fax_number": "818-459-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ KENIGSBERG",
        "first_name": "DEBORAH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-17",
        "last_updated": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "RPS2011014",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "SCHWARTZ",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Agoura Hills, CA

Sources for this page

Verify at the official NPI Registry.