Individual provider Active NPI

Jennifer Kendall, PSY.D.

  • Clinical Psychologist
  • Westlake Village, CA
National Provider Identifier
1851465884
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY16449 Issued in CA
Practice address
2660 Townsgate Rd Ste 720
Westlake Village, CA 91361-5707
Phone
(805) 491-1581
NPI assigned
Nov 20, 2006
Last updated
Nov 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY16449 CA Primary

Addresses

Primary practice location

2660 Townsgate Rd Ste 720
Westlake Village, CA 91361-5707

Mailing address

4607 Lakeview Canyon Rd # 658
Westlake Village, CA 91361-4028
Phone (805) 491-1581

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050621001267 CA Practitioner - Clinical Psychologist 6406891381 Reassigns benefits to 1 organization
Practice locations: Westlake Village, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leading Edge Mental Health IncGroup PAC ID 7416488903, 2 clinicians

Practice addresses (Care Compare)

2660 Townsgate Rd
Suite 720
Westlake Village, CA 91361-5707
Phone (805) 491-1581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
16449CAMDAddiction (Substance Use Disorder) Counselor
PSY16449CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Leading Edge Mental Health, Inc. CurrentSince Aug 1, 2024 Accepting new patients

Locations

44738 10th St W
Lancaster, CA 93534
Phone (661) 940-0211

2660 Townsgate Rd
Ste 720
Westlake Village, CA 91361
Phone (805) 491-1581

4607 Lakeview Canyon Rd
Westlake Vlg, CA 91361
Phone (805) 491-1581

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1851465884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 LAKEVIEW CANYON RD # 658",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614028",
            "telephone_number": "805-491-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 TOWNSGATE RD STE 720",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615707",
            "telephone_number": "805-491-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2023-11-15",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.