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KERRY A HANNIFIN PSY.D.
NPI 1114068020
Psychologist - Clinical in Patton, CA

Active since February 12, 2007PECOS Enrolled
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE, PATTON, CA 92369(909) 425-7679(909) 425-6635 Get Directions Write a Review

NPPES record last updated: January 2, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kerry A Hannifin Psy.d. NPPES

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

KERRY A HANNIFIN PSY.D. (NPI 1114068020) is an individual clinical provider in Patton, California, licensed in California (PSY24515) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114068020
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKERRY A HANNIFINCredential: PSY.D.
Location Address3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICEPatton, CA 92369
Mailing Address3102 E. Highland Avenue, Medical Staff OfficePatton, CA 92369 · (909) 425-7679 · Fax (909) 425-6635
Phone(909) 425-7679
Fax(909) 425-6635
Sole ProprietorNo
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJanuary 2, 2014
✔ NPI 1114068020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY24515
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3102 E. HIGHLAND AVENUE, Patton, CA 92369
Open in Google Maps ↗

Other Names 1

Former Name (1)Kerry A Partika Psy.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerry A Hannifin 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92369 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$179.42 typical visit price
range $59.60 – $179.42
Typical copayment $44.85 (range $14.90 – $44.85)
Most-billed visit code 99205
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

LEIGH A LINDSEY M.D.
Psychiatry & Neurology (Psychiatry)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
San Bernardino County (909) 425-7679
KENNY CHAN WIN M.D.
Internal Medicine
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
San Bernardino County (909) 425-7679
NASHIRA YVETTE FUNN LCSW
Social Worker (Clinical)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
San Bernardino County (909) 425-7000
DEBRA F JOHNSON LCSW
Social Worker (Clinical)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
San Bernardino County (909) 425-7000
MARIANITA ARALAR RAYMUNDO M.D.
Family Medicine
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
San Bernardino County (909) 425-7000
DR. YVONNE CARROL MCDOWELL M.D.
Psychiatry & Neurology (Psychiatry)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
San Bernardino County (909) 425-7679
MR. ROGER JOHN CABANSAG M.D.
Psychiatry & Neurology (Psychiatry)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
San Bernardino County (909) 425-7679
KRISTINE I VINDUA PSY.D.
Psychologist (Clinical)
3102 E. HIGHLAND AVENUE, PATTON STATE HOSPITAL
PATTON, CA 92369
San Bernardino County (909) 425-7679

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 Kerry Hannifin's NPI number?

The NPI number for Kerry Hannifin is 1114068020. It was assigned to this individual provider in the NPPES registry on February 12, 2007. The provider is also known as Kerry A Partika Psy.D..

Where is Kerry Hannifin located?

Kerry Hannifin practices at 3102 E. Highland Avenue Medical Staff Office, Patton, CA 92369. The listed phone number is (909) 425-7679.

What is Kerry Hannifin's specialty?

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

Is Kerry Hannifin enrolled in Medicare?

Yes. Kerry Hannifin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kerry Hannifin was last updated on January 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.