KIMBERLY TANGEN PHD, LICENSED PSYCHOLOGIST, INC.
NPI 1457806770
Psychologist in Marina Del Rey, CA

NPI Status: Active since August 16, 2016

Contact Information

4519 ADMIRALTY WAY STE 110
MARINA DEL REY, CA
ZIP 90292
Phone: (323) 538-4779
Fax: (323) 817-1150

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  • Organization
  • Psychologist

About KIMBERLY TANGEN PHD, LICENSED PSYCHOLOGIST, INC.

This page provides the complete NPI Profile along with additional information for Kimberly Tangen Phd, Licensed Psychologist, Inc., a provider established in Marina Del Rey, California operating as a Psychologist. The healthcare provider is registered in the NPI registry with number 1457806770 assigned on August 2016. The practitioner's primary taxonomy code is 103T00000X with license number PSY 22865 (CA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Kimberly Anne Tangen Phd Qme (Ceo)

NPI
1457806770
Provider Name
KIMBERLY TANGEN PHD, LICENSED PSYCHOLOGIST, INC.
Entity Type
Organization
Location Address
4519 ADMIRALTY WAY STE 110 MARINA DEL REY, CA 90292
Location Phone
(323) 538-4779
Location Fax
(323) 817-1150
Mailing Address
8117 W MANCHESTER AVE # 885 PLAYA DEL REY, CA 90293
Mailing Phone
(323) 538-4779
Mailing Fax
(323) 817-1150
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-16-2016
Last Update Date
12-02-2016
Code Navigator

A psychologist like Kimberly Tangen Phd, Licensed Psychologist, Inc. studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License No.
PSY 22865
License State
CA
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KIMBERLY ANNE TANGEN PHD QME

Authorized Official Title
CEO
Authorized Official Phone
(323) 538-4779

Reviews for KIMBERLY TANGEN PHD, LICENSED PSYCHOLOGIST, INC.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1457806770
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2410716012714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 1 + 6 + 0 + 1 + 2 + 7 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1457806770 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205864147DR. IRVIN D GODOFSKY MD
Individual
Psychiatry & Neurology (Psychiatry)4519 ADMIRALTY WAY STE 110
MARINA DEL REY, CA 90292
(310) 822-1771
1073796058DR. KIMBERLY ANNE TANGEN PHD
Individual
Psychologist (Clinical)4519 ADMIRALTY WAY STE 110
MARINA DEL REY, CA 90292
(323) 538-4779

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457806770, enumerated in the NPI registry as an "organization" on August 16, 2016

The provider is located at 4519 Admiralty Way Ste 110 Marina Del Rey, Ca 90292 and the phone number is (323) 538-4779

This medical organization specializes in Psychologist with taxonomy code 103T00000X

This NPI record was last updated on August 16, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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