CAROLYNN KOHN PHD, BCBA-D
NPI 1265008650
Psychologist - Clinical in Stockton, CA

Active since May 27, 2021PECOS Enrolled
405 E PINE ST, STOCKTON, CA 95204(209) 464-5519 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carolynn Kohn Phd, Bcba-d NPPES

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

CAROLYNN KOHN PHD, BCBA-D (NPI 1265008650) is an individual clinical provider in Stockton, California, licensed in California (18100) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265008650
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameCAROLYNN KOHNCredential: PHD, BCBA-D
Location Address405 E PINE STStockton, CA 95204-5522
Mailing Address3601 Pacific AveStockton, CA 95211-0197
Sole ProprietorNo
Enumeration DateMay 27, 2021
NPPES CertifiedMay 27, 2021
NPI 1265008650 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 · 18100
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 ListedBehavior AnalystTaxonomy 103K00000X · License 1-04-1921 (CA)
405 E PINE ST, Stockton, CA 95204

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carolynn Kohn Phd, Bcba-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 95204 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
$176.60 typical visit price
range $58.87 – $176.60
Typical copayment $44.15 (range $14.71 – $44.15)
Most-billed visit code 99205
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Student in an Organized Health Care Education/Training Program
405 E PINE ST
STOCKTON, CA 95204
Student in an Organized Health Care Education/Training Program
405 E PINE ST
STOCKTON, CA 95204
Student in an Organized Health Care Education/Training Program
405 E PINE ST
STOCKTON, CA 95204
Student in an Organized Health Care Education/Training Program
405 E PINE ST
STOCKTON, CA 95204
Student in an Organized Health Care Education/Training Program
405 E PINE ST
STOCKTON, CA 95204
Student in an Organized Health Care Education/Training Program
405 E PINE ST
STOCKTON, CA 95204
Day Training/Habilitation Specialist
405 E PINE ST
STOCKTON, CA 95204
Day Training/Habilitation Specialist
405 E PINE ST
STOCKTON, CA 95204

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 Carolynn Kohn's NPI number?

The NPI number for Carolynn Kohn is 1265008650. It was assigned to this individual provider in the NPPES registry on May 27, 2021.

Where is Carolynn Kohn located?

Carolynn Kohn practices at 405 E Pine St, Stockton, CA 95204. The listed phone number is (209) 464-5519.

What is Carolynn Kohn's specialty?

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

Is Carolynn Kohn enrolled in Medicare?

Yes. Carolynn Kohn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carolynn Kohn was last updated on May 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.