DR. KENNETH MARVIN NOWACK
NPI 1306783675
Psychologist in Santa Monica, CA

Active since May 04, 2026
2621 6TH ST APT 2, SANTA MONICA, CA 90405(310) 721-2918 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth Marvin Nowack NPPES

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

DR. KENNETH MARVIN NOWACK (NPI 1306783675) is an individual psychologist in Santa Monica, California, licensed in California (PSY13758) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1306783675
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. KENNETH MARVIN NOWACK
Location Address2621 6TH ST APT 2Santa Monica, CA 90405-4432
Mailing Address2208 6th StSanta Monica, CA 90405-2406 · (310) 721-2918
Sole ProprietorYes
Enumeration DateMay 4, 2026
NPPES CertifiedMay 3, 2026
NPI 1306783675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY13758
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2621 6TH ST APT 2, Santa Monica, CA 90405

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 Kenneth Nowack's NPI number?

The NPI number for Kenneth Nowack is 1306783675. It was assigned to this individual provider in the NPPES registry on May 4, 2026.

Where is Kenneth Nowack located?

Kenneth Nowack practices at 2621 6th St Apt 2, Santa Monica, CA 90405. The listed phone number is (310) 721-2918.

What is Kenneth Nowack's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Nowack was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.