Active NPI
Kathryn S. Uzunov, PSY.D.
- Psychologist
- Los Angeles, CA
National Provider Identifier
1992835342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY15183
- Practice address
- 9201 W Sunset Blvd
Suite 701
Los Angeles, CA 90069-3701 - Phone
- (310) 497-0763
- Fax
- (714) 893-3267
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY15183 | CA | Primary |
Addresses
Primary practice location
9201 W Sunset Blvd
Suite 701
Los Angeles, CA 90069-3701
Mailing address
9201 W Sunset Blvd
Suite 701
Los Angeles, CA 90069-3701
Phone (310) 497-0763
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201123001082 | CA | Practitioner - Clinical Psychologist | 2264843218 | Practice locations: Beverly Hills, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
435 N Bedford Dr
Suite 413
Beverly Hills, CA 90210-4338
Phone (310) 497-0763
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY15183 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Therapists, Inc. | Psychologist | Past | Accepting new patients |
| Autism 360 Support LLC | Past | Accepting new patients |
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.
-
- Psychologist
- Huntington Beach, CA
- NPI 1801977319
-
- Clinical Social Worker
- Huntington Beach, CA
- NPI 1639802382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992835342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9201 W SUNSET BLVD",
"address_2": "SUITE 701",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900693701",
"telephone_number": "310-497-0763",
"fax_number": "714-893-3267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9201 W SUNSET BLVD",
"address_2": "SUITE 701",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900693701",
"telephone_number": "310-497-0763",
"fax_number": "714-893-3267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UZUNOV",
"first_name": "KATHRYN",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY15183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- 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.