Karim Camille Kleckley

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

300 E Walnut St
Room 200
Pasadena, CA 91101-1580

Phone

(626) 356-5281

Fax

(626) 356-9416

NPI assigned

Mar 16, 2011

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

Other names 1

• Ms. Karim Camille Tarter Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1679872667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 E CALAVERAS ST",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012265",
            "telephone_number": "626-356-5281",
            "fax_number": "626-568-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E WALNUT ST",
            "address_2": "ROOM 200",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011580",
            "telephone_number": "626-356-5281",
            "fax_number": "626-356-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLECKLEY",
        "first_name": "KARIM",
        "middle_name": "CAMILLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARIM",
            "last_name": "TARTER",
            "middle_name": "CAMILLE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Raquel Tamar Kislinger, M.A.
• Christine Kitahara
• Lisa Marie Kitzler
• Gabrielle Sofia Yaffe Klatsky
• Lori Kleban
• Rodney Heath Kleiger, DDS
• Jenifer Klein, LMFT
• Kellie Jean Klein, PA-C
• Alexandra Kleinman
• Jared Kliger, PSY.D.

• Behavior Analyst in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.