Mark Douglas Kamena, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY16401 Issued in CA

Practice address

1683 Novato Blvd Ste 1B
Novato, CA 94947-3204

Phone

(415) 878-0454

Fax

(415) 460-6367

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Big Dog Counseling, Inc.

  • Clinical Neuropsychologist
  • Novato, CA
  • NPI 1629451703
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1912924440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1683 NOVATO BLVD STE 1B",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473204",
            "telephone_number": "415-878-0454",
            "fax_number": "415-460-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1683 NOVATO BLVD STE 1B",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473204",
            "telephone_number": "415-878-0454",
            "fax_number": "415-460-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMENA",
        "first_name": "MARK",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY16401",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaiser
• Kaiser Foundation Hospitals
• Daniel Kalb, PH.D.
• Diane Marie Kaljian, LCSW
• Anne Marie Kambly, LCSW
• Ari Kane, MD
• Julia Ann Kaplan, RN, CNS
• Maryam Karimabadi, D.C.
• Yoshihiro Katsuura, M.D.
• Maria Rosa Kaufman, MFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.