Active NPI
Jennifer Anne Kadin, PSY.D.
- Psychologist
- Ventura, CA
National Provider Identifier
1700076809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY26595
- Practice address
- 200 S Wells Rd
Suite 100
Ventura, CA 93004-1377 - Phone
- (805) 647-6322
- NPI assigned
- Jul 26, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1134369366
-
- Community Health Clinic/Center
- Oxnard, CA
- NPI 1235866138
-
- Federally Qualified Health Center (FQHC)
- Camarillo, CA
- NPI 1295297190
-
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1942789359
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Family Psychological Services Inc
Practice addresses (Care Compare)
30495 Canwood St
Suite 101
Agoura Hills, CA 91301-4331
Phone (818) 707-7366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160922002683 | CA | Practitioner - Clinical Psychologist | 8921395682 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY26595 | CA | MD | Psychologist |
| 26595 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinicas del Camino Real Inc | Current | Accepting new patients | |
| Clinicas del Camino Real Inc | Current | Accepting new patients | |
| Clinicas del Camino Real Inc | Current | Accepting new patients | |
| Family Psychological Services Inc | Psychologist | Current | Accepting new patients |
| Clinicas del Camino Real Inc | Past | Accepting new patients | |
| Clinicas del Camino Real Inc | Past | Accepting new patients |
Locations
30495 Canwood St
Ste 101
Agoura Hills, CA 91301
Phone (818) 707-7366
500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895
200 S Wells Rd
Ste 100
Ventura, CA 93004
Phone (805) 647-6322
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY26595 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
200 S Wells Rd
Suite 100
Ventura, CA 93004-1377
Mailing address
1040 Flynn Rd
Camarillo, CA 93012-5092
Phone (805) 673-3930
Other names 1
NPPES NPI Registry- Jennifer Anne Kadin-Hoekstra
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 2, 2016.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1700076809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 FLYNN RD",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930125092",
"telephone_number": "805-673-3930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S WELLS RD",
"address_2": "SUITE 100",
"city": "VENTURA",
"state": "CA",
"postal_code": "930041377",
"telephone_number": "805-647-6322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KADIN",
"first_name": "JENNIFER",
"middle_name": "ANNE",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-26",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY26595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "KADIN-HOEKSTRA",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.