Individual provider Active NPI

Kelly V. Karjoo, PSY.D

  • Clinical Psychologist
  • Mission Viejo, CA
National Provider Identifier
1992827307
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY23595 Issued in CA
Practice address
25108 Marguerite Pkwy # A89
Mission Viejo, CA 92692-2497
Phone
(949) 350-5747
NPI assigned
Apr 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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 PSY23595 CA Primary

Addresses

Primary practice location

25108 Marguerite Pkwy # A89
Mission Viejo, CA 92692-2497

Mailing address

25108 Marguerite Pkwy # A89
Mission Viejo, CA 92692-2497
Phone (949) 350-5747

Other names 1

  • Mrs. Kelly V. Battistone Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2026 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Karjoo PSYD Psychologist Inc CurrentSince Dec 3, 2023 Accepting new patients

Locations

25108 Marguerite Pkwy
#A89
Mission Viejo, CA 92692
Phone (949) 350-5747

Organizations & group practices 1

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": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1992827307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25108 MARGUERITE PKWY # A89",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926922497",
            "telephone_number": "949-350-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25108 MARGUERITE PKWY # A89",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926922497",
            "telephone_number": "949-350-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARJOO",
        "first_name": "KELLY",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-05",
        "last_updated": "2023-08-18",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "BATTISTONE",
            "middle_name": "V.",
            "prefix": "MRS.",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.