Active NPI
Kurt Caldwell Kuekes, PH.D.
- Clinical Psychologist
- Sherman Oaks, CA
National Provider Identifier
1679610315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 13562
- Practice address
- 15409 Dickens St
Sherman Oaks, CA 91403-3009 - Phone
- (818) 986-4362
- Fax
- (818) 986-9263
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 13562 | CA | Primary |
Addresses
Primary practice location
15409 Dickens St
Sherman Oaks, CA 91403-3009
Mailing address
15409 Dickens St
Sherman Oaks, CA 91403-3009
Phone (818) 986-4362
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 13562 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Colegrove Psychological Services Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Child & Adolescent Psychologist
- Sherman Oaks, CA
- NPI 1659579217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679610315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15409 DICKENS ST",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914033009",
"telephone_number": "818-986-4362",
"fax_number": "818-986-9263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15409 DICKENS ST",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914033009",
"telephone_number": "818-986-4362",
"fax_number": "818-986-9263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUEKES",
"first_name": "KURT",
"middle_name": "CALDWELL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 13562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- 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.