Individual provider Active NPI

Kaleb L. Singleton, PSY.D.

  • Clinical Psychologist
  • Woodland Hills, CA
National Provider Identifier
1699384651
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY32257 Issued in CA
Practice address
22440 Claredon St.
Woodland Hills, CA 91367
Phone
(608) 800-1484
NPI assigned
Jul 27, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3812-57 WI
Clinical Psychologist 103TC0700X PSY32257 CA Primary

Addresses

Primary practice location

22440 Claredon St.
Woodland Hills, CA 91367

Mailing address

22440 Claredon St.
Woodland Hills, CA 91367
Phone (608) 800-1484

Other practice location 1

32 Grandeville Ct Apt 1017
Wakefield, RI 02879-8212
Phone (608) 800-1484

Other identifiers 1

IdentifierTypeStateIssuer
PSY32257OtherCASTATE LICENSE FOR CLINICAL PSYCHOLOGY PRACTICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY32257CAMDClinical Psychologist
3812-57WIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Psychological Services Inc CurrentSince Nov 13, 2024 Accepting new patients

Locations

3633 Inland Empire Blvd
Ste 777
Ontario, CA 91764
Phone (909) 235-5662

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.

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1699384651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22440 CLAREDON ST.",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "91367",
            "telephone_number": "608-800-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22440 CLAREDON ST.",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "91367",
            "telephone_number": "608-800-1484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Grandeville Ct Apt 1017",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "RI",
            "postal_code": "028798212",
            "country_code": "US",
            "telephone_number": "608-800-1484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGLETON",
        "first_name": "KALEB",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-27",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "3812-57",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY32257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE FOR CLINICAL PSYCHOLOGY PRACTICE",
            "identifier": "PSY32257",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.