Individual provider Active NPI

Martha Sue Klassen, PSYD, BCBA

  • Clinical Psychologist
  • Los Alamitos, CA
National Provider Identifier
1700135548
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY29865 Issued in CA
Practice address
5212 Katella Ave Ste 104
Los Alamitos, CA 90720-6829
Phone
(714) 490-3428
Fax
(562) 493-1684
NPI assigned
Sep 7, 2012
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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 PSY29865 CA Primary
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

5212 Katella Ave Ste 104
Los Alamitos, CA 90720-6829

Mailing address

5212 Katella Ave Ste 104
Los Alamitos, CA 90720-6829
Phone (714) 490-3428

Other names 1

  • Dr. Martha Sue Cook Klassen Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181109001089 CA Practitioner - Clinical Psychologist 7315202025 Reassigns benefits to 1 organization

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
Jodie Knott, PHD Psychological Consulting, IncGroup PAC ID 5799098885, 2 clinicians

Practice addresses (Care Compare)

5212 Katella Ave
Suite 104
Los Alamitos, CA 90720-6829
Phone (714) 496-0335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY29865CAMDClinical Psychologist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1700135548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 KATELLA AVE STE 104",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907206829",
            "telephone_number": "714-490-3428",
            "fax_number": "562-493-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 KATELLA AVE STE 104",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907206829",
            "telephone_number": "714-490-3428",
            "fax_number": "562-493-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLASSEN",
        "first_name": "MARTHA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "PSYD, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY29865",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "COOK KLASSEN",
            "middle_name": "SUE",
            "prefix": "DR.",
            "credential": "PSYD, BCBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.