DR. KENDALL KOHNLE PHD
NPI 1437872330
Psychologist - Clinical in Los Angeles, CA

Active since September 26, 2022Opted out of Medicare · through Sep 18, 2026
11645 WILSHIRE BLVD STE 1030, LOS ANGELES, CA 90025(888) 813-9613 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kendall Kohnle Phd NPPES

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

DR. KENDALL KOHNLE PHD (NPI 1437872330) is an individual clinical provider in Los Angeles, California, licensed in California (PSB-94026238) and active in the NPI registry since September 2022. She has opted out of Medicare through September 18, 2026.

NPPES Registry Identity

NPI1437872330
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KENDALL KOHNLECredential: PHD
Location Address11645 WILSHIRE BLVD STE 1030Los Angeles, CA 90025-1708
Mailing Address11645 Wilshire Blvd Ste 1030Los Angeles, CA 90025-1708 · (888) 813-9613
Sole ProprietorNo
Enumeration DateSeptember 26, 2022
NPPES CertifiedSeptember 25, 2022
NPI 1437872330 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 · PSB-94026238
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.
11645 WILSHIRE BLVD STE 1030, Los Angeles, CA 90025

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. Kendall Kohnle Phd 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 September 18, 2024 through September 18, 2026.

Opt-Out Effective DateSeptember 18, 2024
Opt-Out In Effect ThroughSeptember 18, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Psychologist (Clinical)
11645 WILSHIRE BLVD STE 1030
LOS ANGELES, CA 90025
Clinic/Center (Mental Health (Including Community Mental Health Center))
11645 WILSHIRE BLVD STE 1030
LOS ANGELES, CA 90025
Psychologist (Clinical)
11645 WILSHIRE BLVD STE 1030
LOS ANGELES, CA 90025
Psychologist (Clinical)
11645 WILSHIRE BLVD STE 1030
LOS ANGELES, CA 90025

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 Kendall Kohnle's NPI number?

The NPI number for Kendall Kohnle is 1437872330. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Kendall Kohnle located?

Kendall Kohnle practices at 11645 Wilshire Blvd Ste 1030, Los Angeles, CA 90025. The listed phone number is (888) 813-9613.

What is Kendall Kohnle's specialty?

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

Is Kendall Kohnle enrolled in Medicare?

No. Kendall Kohnle has opted out of Medicare through September 18, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kendall Kohnle was last updated on September 26, 2022. 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.