Individual provider Active NPI

Chandrika Kalyani, PH.D

  • Clinical Psychologist
  • Bakersfield, CA
National Provider Identifier
1609805894
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY13222 Issued in CA
Practice address
6001 Truxtun Ave
Suite 160
Bakersfield, CA 93309-0679
Phone
(661) 323-6410
Fax
(661) 633-3944
NPI assigned
Jul 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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 PSY13222 CA Primary

Addresses

Primary practice location

6001 Truxtun Ave
Suite 160
Bakersfield, CA 93309-0679

Mailing address

6001 Truxtun Ave
Suite 160
Bakersfield, CA 93309-0679
Phone (661) 323-6410

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
I20060823000659 CA Practitioner - Clinical Psychologist 5193728590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of California, Geffen School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Services IncorporatedGroup PAC ID 2860686805, 3 clinicians

Practice addresses (Care Compare)

29800 Agoura Rd
Suite 200
Agoura Hills, CA 91301-2560
Phone (818) 706-9300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Truxtun Psychiatric Medical Group Inc PastSince Oct 1, 2012 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1609805894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 TRUXTUN AVE",
            "address_2": "SUITE 160",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090679",
            "telephone_number": "661-323-6410",
            "fax_number": "661-633-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 TRUXTUN AVE",
            "address_2": "SUITE 160",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090679",
            "telephone_number": "661-323-6410",
            "fax_number": "661-633-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALYANI",
        "first_name": "CHANDRIKA",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY13222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.