Active NPI
Steve Kudler, PSY.D, FPPR
- Clinical Psychologist
- Canoga Park, CA
National Provider Identifier
1962401919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY20095
- Practice address
- 22110 Roscoe Blvd Ste 300
Canoga Park, CA 91304-3837 - Phone
- (818) 582-6444
- NPI assigned
- Jul 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY20095 | CA | Primary |
Addresses
Primary practice location
22110 Roscoe Blvd Ste 300
Canoga Park, CA 91304-3837
Mailing address
PO Box 6393
Woodland Hills, CA 91365-6393
Phone (818) 582-6444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY200950 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250204003300 | AZ | Practitioner - Psychologist Billing Independently | 9234180357 |
1 other NPI on this enrollment Practice locations: Bullhead City, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Bullhead City, AZ 86429
Phone (818) 582-6444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars Assisted Living | Past | Accepting new patients | |
| David Taftian DO, Inc | Past | Accepting new patients | |
| Calfornia Care Centers, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/19088/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Adult Care Home Facility
- Santa Monica, CA
- NPI 1184312910
-
- Assisted Living Facility
- Northridge, CA
- NPI 1164797528
-
- Physical Medicine & Rehabilitation Physician
- Reseda, CA
- NPI 1366917361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609545600000",
"number": "1962401919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6393",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913656393",
"telephone_number": "818-582-6444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22110 ROSCOE BLVD STE 300",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913043837",
"telephone_number": "818-582-6444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUDLER",
"first_name": "STEVE",
"name_prefix": "Dr.",
"credential": "PSY.D, FPPR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2021-01-02",
"certification_date": "2021-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY20095",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PSY200950",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.