Individual provider Active NPI

Stephanie Ann Kann, PSYD

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1780978395
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
018416 Issued in NY
Practice address
5440 Franklin Ave # 318
Los Angeles, CA 90027-1614
Phone
(310) 560-6190
NPI assigned
Jun 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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 27835 CA
Clinical Psychologist 103TC0700X 018416 NY Primary

Addresses

Primary practice location

5440 Franklin Ave # 318
Los Angeles, CA 90027-1614

Mailing address

5440 Franklin Ave # 318
Los Angeles, CA 90027-1614
Phone (310) 560-6190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230314002771 DC Practitioner - Clinical Psychologist 5092184853 Reassigns benefits to 1 organization
I20230329002245 CA Practitioner - Clinical Psychologist 5092184853 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5440 Franklin Ave
Suite 318
Los Angeles, CA 90027-1664
Phone (310) 560-6190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Stephanie Kann Psychologist PC CurrentSince Oct 8, 2020 Accepting new patients
Sud Specialty Group - Ca CurrentSince May 1, 2025 Accepting new patients

Locations

533 2nd St
Ste 114
Encinitas, CA 92024
Phone (310) 560-6190

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

3301 Richmond Hwy
Alexandria, VA 22305
Phone (571) 316-7509

Organizations & group practices 2

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": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1780978395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 FRANKLIN AVE # 318",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271614",
            "telephone_number": "310-560-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 FRANKLIN AVE # 318",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271614",
            "telephone_number": "310-560-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANN",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "27835",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.