DR. KATHRYN HAN KOO PH.D.
NPI 1356821060
Psychologist in Stanton, CA

Active since August 21, 2018PECOS EnrolledAccepts Medicare Assignment
12362 BEACH BLVD STE 10, STANTON, CA 90680(714) 248-9500 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2023, Aug 21, 2018 (2 updates tracked since 2018).

About Dr. Kathryn Han Koo Ph.d. NPPES

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

DR. KATHRYN HAN KOO PH.D. (NPI 1356821060) is an individual psychologist in Stanton, California, licensed in California (30260) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1356821060
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KATHRYN HAN KOOCredential: PH.D.
Location Address12362 BEACH BLVD STE 10Stanton, CA 90680-3944
Mailing Address12362 Beach Blvd Ste 10Stanton, CA 90680-3944 · (714) 248-9500
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 21, 2018
Last NPPES UpdateAugust 10, 20232 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
NPI 1356821060 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 · 30260
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.
12362 BEACH BLVD STE 10, Stanton, CA 90680

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kathryn Han Koo Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274890181
PECOS Enrollment IDI20181025001874
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.

Other Providers at the Same Location NPPES 12

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

Dentist
12362 BEACH BLVD STE 10
STANTON, CA 90680
Nurse Practitioner (Family)
12362 BEACH BLVD STE 10
STANTON, CA 90680
Nurse Practitioner (Family)
12362 BEACH BLVD STE 10
STANTON, CA 90680
Nurse Practitioner
12362 BEACH BLVD STE 10
STANTON, CA 90680
Nurse Practitioner (Family)
12362 BEACH BLVD STE 10
STANTON, CA 90680
Nurse Practitioner (Family)
12362 BEACH BLVD STE 10
STANTON, CA 90680
Clinic/Center (Federally Qualified Health Center (FQHC))
12362 BEACH BLVD STE 10
STANTON, CA 90680
Acupuncturist
12362 BEACH BLVD STE 10
STANTON, CA 90680

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 Kathryn Koo's NPI number?

The NPI number for Kathryn Koo is 1356821060. It was assigned to this individual provider in the NPPES registry on August 21, 2018.

Where is Kathryn Koo located?

Kathryn Koo practices at 12362 Beach Blvd Ste 10, Stanton, CA 90680. The listed phone number is (714) 248-9500.

What is Kathryn Koo's specialty?

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

Is Kathryn Koo enrolled in Medicare?

Yes. Kathryn Koo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kathryn Koo was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.