Kent M Kawagoe, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY13709 Issued in CA

Practice address

5740 N Palm Ave Ste 105
Fresno, CA 93704-1800

Phone

(559) 431-1900

Fax

(559) 431-1951

NPI assigned

Feb 27, 2007

Last updated

Mar 21, 2011By the provider in NPPES

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, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1497882302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 N PALM AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041800",
            "telephone_number": "559-431-1900",
            "fax_number": "559-431-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 N PALM AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041800",
            "telephone_number": "559-431-1900",
            "fax_number": "559-431-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWAGOE",
        "first_name": "KENT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY13709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richa Kaushal, M.D.
• Akemi Kaushik
• Annie Marie Kausin, RN
• Kaveh Karimi D.D.S a Professional Corp.
• Diane D. Kawagoe, PH.D.
• Kristina Kawahata-Popp
• Kelcie Shoko Kawakami, PHARM.D.
• Zulema Kawakami
• Rebekah S. Kawashima, MD
• David Brett Kaye, M.D.

• Psychologist in Fresno, CA
• Providers in Fresno, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.