Individual provider Active NPI

Karen M Stewart, PSY. D

  • Clinical Psychologist
  • Santa Monica, CA
National Provider Identifier
1952542136
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY22580 Issued in CA
Practice address
3201 Wilshire Blvd
Ste 320
Santa Monica, CA 90403-2335
Phone
(310) 477-6000
Fax
(310) 477-0327
NPI assigned
Mar 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY22580 CA Primary

Addresses

Primary practice location

3201 Wilshire Blvd
Ste 320
Santa Monica, CA 90403-2335

Mailing address

1321 9TH St
Santa Monica, CA 90401-1803
Phone (310) 477-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110804000557 CA Practitioner - Clinical Psychologist 3971772104 Reassigns benefits to 1 organization
Practice locations: Santa Monica, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3201 Wilshire Blvd
Suite 320
Santa Monica, CA 90403-2335
Phone (424) 272-8659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY22580CAMDClinical Psychologist
22580CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stewart Psychological Wellness Group, Inc Clinical CurrentSince Jun 28, 2022 Accepting new patients
Counseling Center of Santa Monica - a Psychological Corporation Clinical Past Accepting new patients

Locations

3201 Wilshire Blvd
Ste 320
Santa Monica, CA 90403
Phone (310) 470-9994

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1952542136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 9TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011803",
            "telephone_number": "310-477-6000",
            "fax_number": "310-477-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 WILSHIRE BLVD",
            "address_2": "STE 320",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032335",
            "telephone_number": "310-477-6000",
            "fax_number": "310-477-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KAREN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY. D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-17",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.