Active NPI
Pamela Elizabeth Kangas
- Psychologist
- Santa Cruz, CA
National Provider Identifier
1710075908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY7392
- Practice address
- 1406 Mission St
Santa Cruz, CA 95060-4739 - Phone
- (831) 462-0341
- Fax
- (831) 458-1344
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY7392 | CA | Primary |
Addresses
Primary practice location
1406 Mission St
Santa Cruz, CA 95060-4739
Mailing address
1406 Mission St
Santa Cruz, CA 95060-4739
Phone (831) 462-0341
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2016 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7392 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| PSY7392 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710075908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406 MISSION ST",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950604739",
"telephone_number": "831-462-0341",
"fax_number": "831-458-1344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1406 MISSION ST",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950604739",
"telephone_number": "831-462-0341",
"fax_number": "831-458-1344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANGAS",
"first_name": "PAMELA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY7392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.