Active NPI
Angela Krumm, PH.D.
- Counseling Psychologist
- Los Altos, CA
National Provider Identifier
1871877514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 21710
- Practice address
- 4966 El Camino Real Ste 119
Los Altos, CA 94022-1406 - Phone
- (408) 726-3091
- NPI assigned
- Sep 29, 2011
- Last updated
- Dec 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 21710 | CA | Primary |
Addresses
Primary practice location
4966 El Camino Real Ste 119
Los Altos, CA 94022-1406
Mailing address
2660 Solace PL Ste D2
Mountain View, CA 94040-4337
Phone (650) 417-3564
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2015 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21710 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672012800000",
"number": "1871877514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2660 SOLACE PL STE D2",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940404337",
"telephone_number": "650-417-3564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4966 EL CAMINO REAL STE 119",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221406",
"telephone_number": "408-726-3091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUMM",
"first_name": "ANGELA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-29",
"last_updated": "2022-12-26",
"certification_date": "2022-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "21710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Altos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.