DR. GEORGE KICH PHD
NPI 1457625410
Psychologist - Clinical in Berkeley, CA

Q: What is George Kich's NPI number?

The NPI number for George Kich is 1457625410. It was assigned to this individual provider in the NPPES registry on March 8, 2012. The provider is also known as George Kitahara Kich.

Q: What is George Kich's specialty?

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

Q: Is George Kich enrolled in Medicare?

No. George Kich has opted out of Medicare through August 30, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for George Kich was last updated on March 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since March 08, 2012Opted out of Medicare · through Aug 30, 2026

1409 EDITH ST, BERKELEY, CA 94703(510) 508-6547 Get Directions Write a Review

NPPES record last updated: March 8, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. George Kich Phd NPPES

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

DR. GEORGE KICH PHD (NPI 1457625410) is an individual clinical provider in Berkeley, California, licensed in California (PSY9540) and active in the NPI registry since March 2012. He has opted out of Medicare through August 30, 2026.

NPPES Registry Identity

NPI1457625410

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. GEORGE KICHCredential: PHD

Location Address1409 EDITH STBerkeley, CA 94703-1121

Mailing Address1409 Edith StBerkeley, CA 94703-1121 · (510) 527-1894

Phone(510) 508-6547

Sole ProprietorYes

Enumeration DateMarch 8, 2012

✔ NPI 1457625410 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 · PSY9540

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.

1409 EDITH ST, Berkeley, CA 94703

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Other Names 1

Professional Name (2)George Kitahara Kich

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. George Kich 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 August 30, 2024 through August 30, 2026.

Opt-Out Effective DateAugust 30, 2024

Opt-Out In Effect ThroughAugust 30, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

MS. MARY ANN LEFF M.S.

Marriage & Family Therapist

1409 EDITH ST
BERKELEY, CA 94703

Alameda County (510) 526-4246

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 George Kich's NPI number?

The NPI number for George Kich is 1457625410. It was assigned to this individual provider in the NPPES registry on March 8, 2012. The provider is also known as George Kitahara Kich.

Where is George Kich located?

George Kich practices at 1409 Edith St, Berkeley, CA 94703. The listed phone number is (510) 508-6547.

What is George Kich's specialty?

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

Is George Kich enrolled in Medicare?

No. George Kich has opted out of Medicare through August 30, 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 George Kich was last updated on March 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.