Individual provider Active NPI

Lindsey Marie Kremmel, PH.D.

  • Clinical Psychologist
  • Pleasanton, CA
National Provider Identifier
1598091878
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY22875 Issued in CA
Practice address
91 W Neal St
Pleasanton, CA 94566-6635
Phone
(510) 982-6477
NPI assigned
Oct 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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 PSY22875 CA Primary

Addresses

Primary practice location

91 W Neal St
Pleasanton, CA 94566-6635

Mailing address

91 W Neal St
Pleasanton, CA 94566-6635
Phone (510) 982-6477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2021 through Jan 1, 2027

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1598091878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 W NEAL ST",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666635",
            "telephone_number": "510-982-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 W NEAL ST",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666635",
            "telephone_number": "510-982-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMMEL",
        "first_name": "LINDSEY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-21",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.