DR. KEVIN JOEL WITTENBERG PH.D.
NPI 1275613770
Psychologist - Clinical in Los Angeles, CA

Active since October 17, 2006Opted out of Medicare · through Apr 1, 2027
2566 OVERLAND AVE, 500A, LOS ANGELES, CA 90064(310) 772-8198(310) 446-5489 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kevin Joel Wittenberg Ph.d. NPPES

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

DR. KEVIN JOEL WITTENBERG PH.D. (NPI 1275613770) is an individual clinical provider in Los Angeles, California, licensed in California (PSY17531) and active in the NPI registry since October 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1275613770
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KEVIN JOEL WITTENBERGCredential: PH.D.
Location Address2566 OVERLAND AVE, 500ALos Angeles, CA 90064-3366
Mailing Address2566 Overland Ave, 500aLos Angeles, CA 90064-3366 · (310) 772-8198 · Fax (310) 446-5489
Fax(310) 446-5489
Sole ProprietorYes
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1275613770 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 · PSY17531
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.

2566 OVERLAND AVE, Los Angeles, CA 90064

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Kevin Joel Wittenberg Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90064 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 14

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

Psychologist (Clinical)
2566 OVERLAND AVE, SUITE 500B
LOS ANGELES, CA 90064
Psychologist
2566 OVERLAND AVE, SUITE 780
LOS ANGELES, CA 90064
Psychologist (Clinical)
2566 OVERLAND AVE, SUITE 500A
LOS ANGELES, CA 90064
Psychologist (Clinical)
2566 OVERLAND AVE, SUITE 780
LOS ANGELES, CA 90064
Psychologist (Clinical)
2566 OVERLAND AVE, SUITE 780
LOS ANGELES, CA 90064
Marriage & Family Therapist
2566 OVERLAND AVE, SUITE 500B
LOS ANGELES, CA 90064
Dentist (General Practice)
2566 OVERLAND AVE, SUITE 630
LOS ANGELES, CA 90064
Marriage & Family Therapist
2566 OVERLAND AVE, SUITE 500A
LOS ANGELES, CA 90064

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 Kevin Wittenberg's NPI number?

The NPI number for Kevin Wittenberg is 1275613770. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Kevin Wittenberg located?

Kevin Wittenberg practices at 2566 Overland Ave 500A, Los Angeles, CA 90064. The listed phone number is (310) 772-8198.

What is Kevin Wittenberg's specialty?

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

Is Kevin Wittenberg enrolled in Medicare?

No. Kevin Wittenberg has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Kevin Wittenberg accept?

Health plans from HMSA list Kevin Wittenberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Wittenberg was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.