BONNIE KAHANE PHD
NPI 1104963255
Psychologist - Clinical in Berkeley, CA
About Bonnie Kahane Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BONNIE KAHANE PHD (NPI 1104963255) is an individual clinical provider in Berkeley, California, licensed in California (PSY12953) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bonnie Kahane Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Bonnie Kahane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Berkeley, CA 94709
- Reassigned Medicare billing, California enrollment
- 21 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94709 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BERKELEY, CA 94709
BERKELEY, CA 94709
BERKELEY, CA 94709
BERKELEY, CA 94709
BERKELEY, CA 94709
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 Bonnie Kahane's NPI number?
The NPI number for Bonnie Kahane is 1104963255. It was assigned to this individual provider in the NPPES registry on January 30, 2007.
Where is Bonnie Kahane located?
Bonnie Kahane practices at 1749 Martin Luther King Jr Way, Berkeley, CA 94709. The listed phone number is (510) 841-8484.
What is Bonnie Kahane's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Bonnie Kahane enrolled in Medicare?
Yes. Bonnie Kahane is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Bonnie Kahane's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bonnie Kahane reassigns Medicare benefits to Berkeley Therapy Institute (Berkeley, 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 Bonnie Kahane'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 Bonnie Kahane was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Bonnie Kahane, PHD · NPI 1104963255
Clinical provider in Berkeley, California. Individual provider, active in the CMS NPPES registry since January 30, 2007.
## Identity
- **NPI:** 1104963255 (Entity type: Individual)
- **Enumerated:** January 30, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY12953 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1749 MARTIN LUTHER KING JR WAY, Berkeley, CA 94709-2139
- **Phone:** (510) 841-8484
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Berkeley Therapy Institute (NPI 1255497814, Berkeley, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1990
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 0PL129530 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1104963255) · Data from the CMS NPPES public registry.