Kravitz Psychological, Apc

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

KRAVITZ PSYCHOLOGICAL, APC

Practice address

4764 Park Granada Ste 101
Calabasas, CA 91302-3326

Phone

(818) 804-8492

Fax

(310) 756-1225

NPI assigned

Jul 7, 2023

Last updated

Mar 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim DO

Title

Credentialing Manager

Phone

(714) 888-4629

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jena A Kravitz, PSY.D.

  • Clinical Neuropsychologist
  • Calabasas, CA
  • NPI 1942463260
  Medicare reassignment NPD

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1942988118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22647 VENTURA BLVD STE 851",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641416",
            "telephone_number": "818-804-8492",
            "fax_number": "310-756-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4764 PARK GRANADA STE 101",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913023326",
            "telephone_number": "818-804-8492",
            "fax_number": "310-756-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRAVITZ PSYCHOLOGICAL, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "714-888-4629"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlize Koroma
• Janet Korotki
• Mary Christine Kossoyan
• Alexandra Sydney Kramer
• Cheryl J Kramer, ACUPUNCTURIST
• Jena A Kravitz, PSY.D.
• Marilyn Laura Kroplick I, MD
• Angela Kuehl, L.AC.
• Karen Michele Kulchin, MSW LCSW
• Yukiko Isabella Kuranishi

• Clinical Neuropsychologist in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.