Kooyman Psychological Services, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20091 Issued in CA

Legal business name

KOOYMAN PSYCHOLOGICAL SERVICES, INC.

Practice address

16052 Beach Blvd Ste 214
Huntington Beach, CA 92647-3851

Phone

(714) 225-0815

Fax

(714) 841-7474

NPI assigned

Oct 6, 2012

Last updated

Oct 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Debbi R Kooyman, PSY.D.NPI 1194820357

Title

President & Ceo

Phone

(714) 225-0815

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debbi Rae Kooyman, PSY.D.

  • Clinical Psychologist
  • Huntington Beach, CA
  • NPI 1194820357
  Authorized official Same address or phone

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

{
    "created_epoch": "1349481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349481600000",
    "number": "1558613109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "SURFSIDE",
            "state": "CA",
            "postal_code": "907430312",
            "telephone_number": "714-225-0815",
            "fax_number": "714-841-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16052 BEACH BLVD STE 214",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473851",
            "telephone_number": "714-225-0815",
            "fax_number": "714-841-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOYMAN PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-06",
        "last_updated": "2012-10-06",
        "status": "A",
        "authorized_official_last_name": "KOOYMAN",
        "authorized_official_first_name": "DEBBI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "714-225-0815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naoto Kojima
• Glenn Tetsuo Komae, D.D.S.
• Jamie Kondo
• Dawn Lee Koon, LVN
• Krista Ingrid Koop, D.C.
• Debbi Rae Kooyman, PSY.D.
• Victoria Korotayev
• Lori S Kortkamp, FNP-C
• Gunnayya Chetty Kota, MD
• William Kramp

• Clinical Psychologist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.