Kenneth Howard Germanow, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY10096 Issued in CA

Practice address

620 California Blvd
Suite P
San Luis Obispo, CA 93401-2541

Phone

(805) 596-5146

NPI assigned

Feb 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922146497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 MANZANITA DR",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934023616",
            "telephone_number": "805-596-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CALIFORNIA BLVD",
            "address_2": "SUITE P",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012541",
            "telephone_number": "805-596-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMANOW",
        "first_name": "KENNETH",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Mark George
• Teresa Marie George, PHD
• Paul F Georghio, MD
• Michael Hanford Gerber, PH.D.
• Mardi A. Geredes, MA, RRW
• Joel Alan Germond, PSY.D.
• Amanda Margaret Getten, LMFT
• Azarm Ghareman, PHD
• Ghassan Aro DDS Proffessional Dental Corp (aro dental practice)
• Shervin Gholian, D.M.D., M.M.SC.

• Clinical Psychologist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.