Individual provider Active NPI

Jennifer Kung

  • Clinical Psychologist
  • Whittier, CA
National Provider Identifier
1962837666
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY36134 Issued in CA
Practice address
9829 Carmenita Rd
Whittier, CA 90605-3229
Phone
(909) 365-0085
NPI assigned
Sep 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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 PSY36134 CA Primary

Addresses

Primary practice location

9829 Carmenita Rd
Whittier, CA 90605-3229

Mailing address

1810 Peaceful Hills Rd
Walnut, CA 91789-4024

Other practice location 1

3301 E 12th St
Suite 259
Oakland, CA 94601-3424
Phone (510) 295-5545

Other practice location 2

11835 W Olympic Blvd Ste 1270E
Los Angeles, CA 90064-5053
Phone (310) 273-4843

Other identifiers 1

IdentifierTypeStateIssuer
7569OtherCAMEDI-CAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
76149CAMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1962837666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 PEACEFUL HILLS RD",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917894024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9829 CARMENITA RD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906053229",
            "telephone_number": "909-365-0085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 E 12th St",
            "address_2": "Suite 259",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946013424",
            "country_code": "US",
            "telephone_number": "510-295-5545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11835 W Olympic Blvd Ste 1270E",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900645053",
            "country_code": "US",
            "telephone_number": "310-273-4843",
            "fax_number": "310-273-5056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNG",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY36134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "7569",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.