Max Kardos

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

35094 Issued in CA

Practice address

1555 River Park Dr Ste 103
Sacramento, CA 95815-4603

Phone

(916) 975-7715

NPI assigned

Sep 7, 2017

Last updated

Jun 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

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.

• Assessment and Development Center of Sacramento

  dba ADCSac

  • Clinical Psychologist
  • Sacramento, CA
  • NPI 1750916177
  Medicare reassignment NPD

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1629596820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 41ST ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958194043",
            "telephone_number": "650-218-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 RIVER PARK DR STE 103",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154603",
            "telephone_number": "916-975-7715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Empire st.",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "94533",
            "country_code": "US",
            "telephone_number": "707-425-5744 x155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARDOS",
        "first_name": "MAX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-07",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "35094",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayaneh Karapetian, MFT
• Olga Karaputa, NURSE PRACTITIONER
• Karason Master Surgeons
• Samuel Karavan
• Alisa Michelle Kardell-Truman, CRNA
• Sarah Kardos
• Kare Non Emergency Transport
• Marissa Karelas
• Eric Kimathi Karemu
• Hamed Kargozaran, M.D.

• Clinical Child & Adolescent Psychologist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.