Individual provider Active NPI

Mark Steven Kalkoske, PPS

  • School Psychologist
  • Desert Hot Springs, CA
National Provider Identifier
1851157382
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
190105772 Issued in CA
Practice address
68750 Hacienda Ave
Desert Hot Springs, CA 92240-6551
Phone
(760) 217-3640
NPI assigned
Feb 22, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 190105772 CA Primary

Addresses

Primary practice location

68750 Hacienda Ave
Desert Hot Springs, CA 92240-6551

Mailing address

150 District Center Dr
Palm Springs, CA 92264-3626
Phone (760) 217-3640

Other practice location 1

9250 Sonora Dr.
Palm Springs, CA 92264-3626
Phone (760) 217-3640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
190105772CAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Springs Unified School District PastSince Feb 25, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1851157382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DISTRICT CENTER DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922643626",
            "telephone_number": "760-217-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68750 HACIENDA AVE",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922406551",
            "telephone_number": "760-217-3640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9250 Sonora Dr.",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922643626",
            "country_code": "US",
            "telephone_number": "760-217-3640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALKOSKE",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "PPS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "190105772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desert Hot Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.