Michael Dean Kaltenbach, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LCS24220 Issued in CA

Practice address

8430 Santa Monica Blvd
Suite 100
West Hollywood, CA 90069

Phone

(323) 646-1139

Fax

(323) 848-4358

NPI assigned

May 12, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• West Phila Community Mental Health Consortium, Inc.

  dba The Consortium, Inc.

  • Counselor
  • Philadelphia, PA
  • NPI 1194757989
  Medicare reassignment NPD
• West Philadelphia Community MH Consortium Inc.

  dba The Consortium Inc.

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1245350081
  NPD

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1972770758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8430 SANTA MONICA BLVD",
            "address_2": "SUITE 100",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "90069",
            "telephone_number": "323-646-1139",
            "fax_number": "323-848-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 SANTA MONICA BLVD",
            "address_2": "SUITE 100",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "90069",
            "telephone_number": "323-646-1139",
            "fax_number": "323-848-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALTENBACH",
        "first_name": "MICHAEL",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCS24220",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS24220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vishnu K Kadiyala, MD
• Melissa E Kahn, M.D.
• Marwa Kaisey, MD
• Kamran Kalpari, M.D.
• Richa Kalra, M.D.
• Kristina Ann Kam
• Noura Kamali Azad, DDS
• Rahul Kamath
• Amrit K Kamboj, MD
• Kamran Kalpari MD a Medical Corporation

• Social Worker in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.