DR. KENNETH HARTLINE PSY.D.
NPI 1114472180
Clinical Neuropsychologist in Los Angeles, CA
NPI Status: Active since August 19, 2016
Contact Information
444 S SAN VICENTE BLVD STE 103
LOS ANGELES, CA
ZIP 90048
Phone: (310) 423-9722
- Individual
- Male
- Clinical Neuropsychologist
- PECOS Enrolled
About KENNETH HARTLINE
This page provides the complete NPI Profile along with additional information for Kenneth Hartline, a provider established in Los Angeles, California with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1114472180 assigned on August 2016. The practitioner's primary taxonomy code is 103G00000X with license number PSY28449 (CA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1114472180
- Provider Name
- DR. KENNETH HARTLINE PSY.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 444 S SAN VICENTE BLVD STE 103 LOS ANGELES, CA 90048
- Location Phone
- (310) 423-9722
- Mailing Address
- 4140 W 190TH ST TORRANCE, CA 90504
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-19-2016
- Last Update Date
- 11-12-2025
- Code Navigator
Location Map
Secondary Locations
- 8700 Beverly Blvd Ste 7409
West Hollywood, CA 90048
(310) 423-9722 - 2070 Century Park E Ste P456
Los Angeles, CA 90067
(310) 423-9722
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
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PSY28449
- License State
- CA
- Taxonomy Description
- A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Medicare Participation & PECOS Enrollment Status
Kenneth Hartline is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1114472180, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
LOS ANGELES, CA 90048
LOS ANGELES, CA 90048
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114472180, enumerated as an "individual" on August 19, 2016.
The provider is located at 444 S SAN VICENTE BLVD STE 103 LOS ANGELES, CA 90048 and the phone number is (310) 423-9722.
Clinical Neuropsychologist with taxonomy code 103G00000X.
