Active NPI
Anita Kemp, PH.D.
- Clinical Psychologist
- Redding, CA
National Provider Identifier
1528008638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY14770
- Practice address
- 983 Mission de Oro Dr
Suite B
Redding, CA 96003-3850 - Phone
- (530) 244-6131
- Fax
- (530) 244-6131
- NPI assigned
- Jun 7, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY14770 | CA | |
| Adult Development & Aging Psychologist | 103TA0700X | PSY14770 | CA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PSY14770 | CA | |
| Clinical Psychologist | 103TC0700X | PSY14770 | CA | Primary |
| Health Psychologist | 103TH0004X | PSY14770 | CA |
Addresses
Primary practice location
983 Mission de Oro Dr
Suite B
Redding, CA 96003-3850
Mailing address
1615 Shasta Acres Rd
Mount Shasta, CA 96067-9604
Phone (530) 244-6131
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY14770 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504656000000",
"number": "1528008638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 SHASTA ACRES RD",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960679604",
"telephone_number": "530-244-6131",
"fax_number": "530-244-6131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "983 MISSION DE ORO DR",
"address_2": "SUITE B",
"city": "REDDING",
"state": "CA",
"postal_code": "960033850",
"telephone_number": "530-244-6131",
"fax_number": "530-244-6131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMP",
"first_name": "ANITA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2017-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY14770",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "CA",
"license": "PSY14770",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "PSY14770",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY14770",
"primary": true
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "CA",
"license": "PSY14770",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.