DR. KATHLEEN M CONDON PSY.D
NPI 1053580308
Psychologist in Santa Cruz, CA

Active since February 20, 2008PECOS Enrolled
1080 EMELINE AVE, SANTA CRUZ, CA 95060(831) 454-4100 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 29, 2023, Jun 7, 2017 (2 updates tracked since 2017).

About Dr. Kathleen M Condon Psy.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHLEEN M CONDON PSY.D (NPI 1053580308) is an individual psychologist in Santa Cruz, California, licensed in California (24048) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053580308
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KATHLEEN M CONDONCredential: PSY.D
Location Address1080 EMELINE AVESanta Cruz, CA 95060-1966
Mailing Address1080 Emeline AvenueSanta Cruz, CA 95060-1976 · (831) 454-4872 · Fax (831) 454-4296
Sole ProprietorNo
Enumeration DateFebruary 20, 2008
Last NPPES UpdateAugust 29, 20232 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
✔ NPI 1053580308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses✔ Licensed in CA · 24048✔ Licensed in ID · PSY-202418
Definition
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.
1080 EMELINE AVE, Santa Cruz, CA 95060

Other Identifiers 3

Other24048CA · Psychologist License Number
Other1659315430CA · Npi Organization Legal Entity
MedicaidFHC70042FCA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathleen M Condon Psy.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kathleen Condon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1080 EMELINE AVE
Santa Cruz, CA 95060
  • Reassigned Medicare billing, California enrollment
  • 37 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Social Worker (Clinical)
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Psychiatry & Neurology (Psychiatry)
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Social Worker (Clinical)
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Internal Medicine
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Pharmacy
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Psychiatry & Neurology (Psychiatry)
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Psychiatry & Neurology (Psychiatry)
1080 EMELINE AVE
SANTA CRUZ, CA 95060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Condon's NPI number?

The NPI number for Kathleen Condon is 1053580308. It was assigned to this individual provider in the NPPES registry on February 20, 2008.

Where is Kathleen Condon located?

Kathleen Condon practices at 1080 Emeline Ave, Santa Cruz, CA 95060. The listed phone number is (831) 454-4100.

What is Kathleen Condon's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kathleen Condon enrolled in Medicare?

Yes. Kathleen Condon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathleen Condon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Condon reassigns Medicare benefits to County Of Santa Cruz (Santa Cruz, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Condon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathleen Condon was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.