Active NPI
Kim Pantages, SCHOOL PSYCHOLOGIST
- School Psychologist
- Selma, CA
National Provider Identifier
1609784529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 10547 E Kamm Ave
Selma, CA 93662-9473 - Phone
- (559) 313-6912
- NPI assigned
- Aug 31, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | CA | Primary |
Addresses
Primary practice location
10547 E Kamm Ave
Selma, CA 93662-9473
Mailing address
10547 E Kamm Ave
Selma, CA 93662-9473
Phone (559) 313-6912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1609784529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10547 E KAMM AVE",
"city": "SELMA",
"state": "CA",
"postal_code": "936629473",
"telephone_number": "559-313-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10547 E KAMM AVE",
"city": "SELMA",
"state": "CA",
"postal_code": "936629473",
"telephone_number": "559-313-6912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANTAGES",
"first_name": "KIM",
"credential": "SCHOOL PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Selma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.