Helen Kienzle, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY31067 Issued in CA

Practice address

1080 N Indian Canyon Dr Ste 203
Palm Springs, CA 92262-4871

Phone

(760) 320-8005

Fax

(760) 406-6057

NPI assigned

Sep 17, 2010

Last updated

Jun 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Helen Manvelian Former name

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

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Harbor Psychiatry and Mental Health Professional CorporationGroup PAC ID 8729394572, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Harbor Psychiatry & Mental Health, Professional Corporation

  • Psychiatry Physician
  • Newport Beach, CA
  • NPI 1780050054
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1629386180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83814 WOLF CREEK RD",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922032817",
            "telephone_number": "760-774-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 N INDIAN CANYON DR STE 203",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624871",
            "telephone_number": "760-320-8005",
            "fax_number": "760-406-6057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1224 N Vine St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900381612",
            "country_code": "US",
            "telephone_number": "323-769-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIENZLE",
        "first_name": "HELEN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31067",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HELEN",
            "last_name": "MANVELIAN",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sergii Khodakivskyi, MD
• Jonathan Nguyen Khoi, DDS
• Angel Khokhar, MD
• Liyona Khoury
• Reema Khurram, MD
• Brenda Kilzi, PHARMD
• Kim Phan DO PC
• Eun Tae Kim, REGISTEREDPHARMACIST
• Gemma Kim, M.D.
• Jimmy Kim, PHARM.D

• Clinical Psychologist in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.