Individual provider Active NPI

Karen Marie Allen, PHD

  • Clinical Psychologist
  • Fountain Valley, CA
National Provider Identifier
1588964969
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSB 35554 Issued in CA
Practice address
10101 Slater Ave
Fountain Valley, CA 92708-4714
Phone
(714) 963-5023
Fax
(714) 964-5784
NPI assigned
Nov 1, 2010
Last updated
Nov 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSB 35554 CA Primary

Addresses

Primary practice location

10101 Slater Ave
Fountain Valley, CA 92708-4714

Mailing address

10807 El Gorra Cir
Fountain Valley, CA 92708-3840
Phone (714) 963-5023

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
I20110121000121 CA Practitioner - Clinical Psychologist 9234318338 Practice locations: Fountain Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9550 Warner Ave
Suite 227
Fountain Valley, CA 92708-2862
Phone (714) 235-2715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSB 35554CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1588964969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10807 EL GORRA CIR",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083840",
            "telephone_number": "714-963-5023",
            "fax_number": "877-580-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 SLATER AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084714",
            "telephone_number": "714-963-5023",
            "fax_number": "714-964-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSB 35554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.