Active NPI
Richard Kevin Koenig, PSY.D
- Psychologist
- El Cerrito, CA
National Provider Identifier
1669991709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY35544
- Practice address
- 1914 Key Blvd
El Cerrito, CA 94530-1735 - Phone
- (510) 730-2031
- NPI assigned
- Sep 9, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY35544 | CA | Primary |
Addresses
Primary practice location
1914 Key Blvd
El Cerrito, CA 94530-1735
Mailing address
1918 University Ave Ste 2B
Berkeley, CA 94704-3264
Phone (510) 548-9716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY35544 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1669991709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1918 UNIVERSITY AVE STE 2B",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947043264",
"telephone_number": "510-548-9716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1914 KEY BLVD",
"city": "EL CERRITO",
"state": "CA",
"postal_code": "945301735",
"telephone_number": "510-730-2031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOENIG",
"first_name": "RICHARD",
"middle_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-09",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY35544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Cerrito, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.