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DR. KIMBERLY ANNE TANGEN PHD
NPI 1073796058
Psychologist - Clinical in Marina Del Rey, CA

Active since December 12, 2007
4519 ADMIRALTY WAY STE 110, MARINA DEL REY, CA 90292(323) 538-4779(323) 817-1150 Get Directions Write a Review

NPPES record last updated: December 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kimberly Anne Tangen Phd NPPES

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

DR. KIMBERLY ANNE TANGEN PHD (NPI 1073796058) is an individual clinical provider in Marina Del Rey, California, licensed in California (22865) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1073796058
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KIMBERLY ANNE TANGENCredential: PHD
Location Address4519 ADMIRALTY WAY STE 110Marina Del Rey, CA 90292-5455
Mailing Address8117 W Manchester Ave # 885Playa Del Rey, CA 90293-8211 · (323) 538-4779 · Fax (323) 817-1150
Phone(323) 538-4779
Fax(323) 817-1150
Sole ProprietorNo
Enumeration DateDecember 12, 2007
Last NPPES UpdateDecember 2, 2016
✔ NPI 1073796058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 22865
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4519 ADMIRALTY WAY STE 110, Marina Del Rey, CA 90292
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Other Providers at the Same Location NPPES 2

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

DR. IRVIN D GODOFSKY MD
Psychiatry & Neurology (Psychiatry)
4519 ADMIRALTY WAY STE 110
MARINA DEL REY, CA 90292
Los Angeles County (310) 822-1771
KIMBERLY TANGEN PHD, LICENSED PSYCHOLOGIST, INC.
Psychologist
4519 ADMIRALTY WAY STE 110
MARINA DEL REY, CA 90292
Los Angeles County (323) 538-4779

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 Kimberly Tangen's NPI number?

The NPI number for Kimberly Tangen is 1073796058. It was assigned to this individual provider in the NPPES registry on December 12, 2007.

Where is Kimberly Tangen located?

Kimberly Tangen practices at 4519 Admiralty Way Ste 110, Marina Del Rey, CA 90292. The listed phone number is (323) 538-4779.

What is Kimberly Tangen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Kimberly Tangen was last updated on December 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.