Dr. Kan Psychological Services Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DR. KAN PSYCHOLOGICAL SERVICES INC.

Practice address

4695 Chabot Dr Ste 200
Pleasanton, CA 94588-2756

Phone

(925) 238-8932

NPI assigned

Jan 27, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Wen-Ting Michelle Kan, PHD, LMHC, MSEDNPI 1417076605

Title

Owner and Licensed Psychologist

Phone

(925) 238-8932

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wen-Ting Michelle Kan, PHD

  • Clinical Psychologist
  • Palo Alto, CA
  • NPI 1417076605
  NPD Authorized official

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1700477338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 MAHOGANY ST",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945687672",
            "telephone_number": "917-378-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 CHABOT DR STE 200",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882756",
            "telephone_number": "925-238-8932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4760 Mahogany St",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "CA",
            "postal_code": "945687672",
            "country_code": "US",
            "telephone_number": "925-238-8932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. KAN PSYCHOLOGICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "KAN",
        "authorized_official_first_name": "WEN-TING",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER AND LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "925-238-8932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMHC, MSED"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.