Individual provider Active NPI

Kelvin Ore, PSY.D.

  • Clinical Psychologist
  • Bell Gardens, CA
National Provider Identifier
1851687594
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY26858 Issued in CA
Practice address
6001 Clara St
Bell Gardens, CA 90201-4723
Phone
(562) 806-5000
NPI assigned
Jun 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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 PSY26858 CA Primary

Addresses

Primary practice location

6001 Clara St
Bell Gardens, CA 90201-4723

Mailing address

209 S Oakland Ave
Unit C
Pasadena, CA 91101-2864
Phone (310) 489-7086

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY26858CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Enki Health Services, Inc. Current Accepting new patients

Locations

150 E Olive Ave
Ste 203
Burbank, CA 91502
Phone (818) 973-4899

3208 Rosemead Blvd
Ste 100
El Monte, CA 91731
Phone (626) 227-7001

160 S 7th Ave
La Puente, CA 91746
Phone (626) 961-8971

560 S St Louis St
Los Angeles, CA 90033
Phone (213) 480-1557

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1851687594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S OAKLAND AVE",
            "address_2": "UNIT C",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012864",
            "telephone_number": "310-489-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 CLARA ST",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902014723",
            "telephone_number": "562-806-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORE",
        "first_name": "KELVIN",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bell Gardens, CA

Sources for this page

Verify at the official NPI Registry.