Judith Putnam Kaliski, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY10928 Issued in CA

Practice address

San Luis Obispo Community Mental Health Ipu
2179 Johnson Ave.
San Luis Obispo, CA 93408-0001

Phone

(805) 781-4712

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669525218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 EL CERRITO ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014667",
            "telephone_number": "805-594-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN LUIS OBISPO COMMUNITY MENTAL HEALTH IPU",
            "address_2": "2179 JOHNSON AVE.",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934080001",
            "telephone_number": "805-781-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALISKI",
        "first_name": "JUDITH",
        "middle_name": "PUTNAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "1819",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Juliano, LMFT 144422
• Steven M. Kadin, PH.D.
• Sukai Kah
• Kellan Kalbaugh, PA-C
• Lacey Morgan Kalinen, PA-C
• Sara E Kalton
• Geoffrey L Kamen, M.D.
• Deborah Zonenschein Kamliot
• Andrea Kamm, LMFT
• Adam Kandil

• Clinical Psychologist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.