Charles Gregory Kraft, ED.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY 7492 Issued in CA

Practice address

409 Alberto Way
5
Los Gatos, CA 95032-5407

Phone

(408) 358-3122

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Axis Community Health IncGroup PAC ID 7012975071, shared by 5 NPIs, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Davken Associates, P.C.

  • Clinical Psychologist
  • Deerfield, IL
  • NPI 1457393159
  NPD (past)
• Wolfson Psychological Services, P.C.

  • Clinical Psychologist
  • Highland Park, IL
  • NPI 1194851477
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811006018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1161",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950101161",
            "telephone_number": "831-462-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 ALBERTO WAY",
            "address_2": "5",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950325407",
            "telephone_number": "408-358-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAFT",
        "first_name": "CHARLES",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 7492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damon Russell Korb, M.D.
• Kothary Dental Corporation
• Arek Kourouyan
• Janet Ellen Kraemer, PH.D.
• Barbara Lynn Kraft, MFT
• Nichole Marie Kraft, NURSE PRACTITIONER
• Lore Mary Kreeger, CST
• Elizabeth Kremen, M.D.
• Kristina Hobson, M.D. Inc.
• Kristina Lagana

• Psychologist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Psychologist in California

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

Verify at the official NPI Registry.