Active NPI
Henry Kimmel, PSY.D.
- Student in an Organized Health Care Education/Training Program
- Sherman Oaks, CA
National Provider Identifier
1528299427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 13547 Cheltenham Dr
Sherman Oaks, CA 91423-4817 - Phone
- (818) 784-1441
- NPI assigned
- Jul 27, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | Primary |
Addresses
Primary practice location
13547 Cheltenham Dr
Sherman Oaks, CA 91423-4817
Mailing address
13547 Cheltenham Dr
Sherman Oaks, CA 91423-4817
Phone (818) 784-1441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140604002614 | CA | Practitioner - Psychologist Billing Independently | 3375767700 | Practice locations: Encino, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
16055 Ventura Blvd
Suite 1033
Encino, CA 91436-2611
Phone (818) 574-8624
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1528299427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13547 CHELTENHAM DR",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914234817",
"telephone_number": "818-784-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13547 CHELTENHAM DR",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914234817",
"telephone_number": "818-784-1441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMMEL",
"first_name": "HENRY",
"name_prefix": "Mr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-27",
"last_updated": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.