Charles Kodimer PHD Psychological

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 6629 Issued in CA

Legal business name

CHARLES KODIMER PHD PSYCHOLOGICAL

Practice address

10927 Downey Ave Ste C
Downey, CA 90241-3739

Phone

(562) 861-6180

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

Charles Kodimer, PHDNPI 1023040599

Title

Owner

Phone

(562) 861-6180

Specialties & licenses 3

Addresses

Other names 1

• CHARLES KODIMER PHD AND ASSOCIATES Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Kodimer, PHD

  • Clinical Psychologist
  • Downey, CA
  • NPI 1023040599

  Clinical Neuropsychologist

  Medicare reassignment NPD Authorized official
• Dhanya Bonita Eisenstein, M.F.T.

  • Marriage & Family Therapist
  • West Hollywood, CA
  • NPI 1093905374
  NPD (past)
• Alexandria Michelle Guerrero, LMFT

  • Marriage & Family Therapist
  • Yorba Linda, CA
  • NPI 1396598710
  NPD (past)
• Wah-Mei Kodimer

  • Student in an Organized Health Care Education/Training Program
  • Temecula, CA
  • NPI 1164706248
  NPD (past)
• Ike Mendoza, LCSW

  • Clinical Social Worker
  • Downey, CA
  • NPI 1467625863
  NPD (past)
• Parul Modi, LMFT

  • Marriage & Family Therapist
  • Santa Ana, CA
  • NPI 1821455809
  NPD (past)
• Diane D Waddell, PHD

  • Psychologist
  • Temecula, CA
  • NPI 1710150776
  NPD (past)
• Deborah N Weinstein, MFT

  • Marriage & Family Therapist
  • Temecula, CA
  • NPI 1083887046
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1891749727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78988",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928770166",
            "telephone_number": "951-676-4393",
            "fax_number": "951-694-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10927 DOWNEY AVE STE C",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413739",
            "telephone_number": "562-861-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES KODIMER PHD PSYCHOLOGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "KODIMER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-861-6180",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY 6629",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 6629",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 6318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHARLES KODIMER PHD AND ASSOCIATES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Simon Y. Chang, M.D.
• Ellen Chanta
• Andrew Yuh Chao, D.O.
• Jerry Chao, PHARM.D.
• Linda Chao
• Charles Stucken D.D.S. Professional Dental Corporation
• Shaun Chaskelson
• Vanessa Sabrina Chau
• Gaurang Bhagwatprasad Chaurushia, MD
• David Chavelas

• Clinical Psychologist in Downey, CA
• Providers in Downey, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.