KIMBERLY TANGEN PHD, LICENSED PSYCHOLOGIST, INC.
NPI 1457806770
Psychologist in Marina Del Rey, CA

Active since August 16, 2016
4519 ADMIRALTY WAY STE 110, MARINA DEL REY, CA 90292(323) 538-4779(323) 817-1150 Get Directions Write a Review

NPPES record last updated: December 2, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kimberly Tangen Phd, Licensed Psychologist, Inc. NPPES

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

KIMBERLY TANGEN PHD, LICENSED PSYCHOLOGIST, INC. (NPI 1457806770) is a healthcare organization registered as a psychologist in Marina Del Rey, California and active in the NPI registry since August 2016. The organization lists Kimberly Anne Tangen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457806770
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameKIMBERLY TANGEN PHD, LICENSED PSYCHOLOGIST, INC.
Location Address4519 ADMIRALTY WAY STE 110Marina Del Rey, CA 90292-5455
Mailing Address8117 W Manchester Ave # 885Playa Del Rey, CA 90293-8211 · (323) 538-4779 · Fax (323) 817-1150
Fax(323) 817-1150
Organization SubpartNo
Authorized OfficialKimberly Anne TangenCeo · (323) 538-4779
Enumeration DateAugust 16, 2016
Last NPPES UpdateDecember 2, 2016
✔ NPI 1457806770 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 · PSY 22865
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.
4519 ADMIRALTY WAY STE 110, Marina Del Rey, CA 90292

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Psychologist (Clinical)
4519 ADMIRALTY WAY STE 110
MARINA DEL REY, CA 90292
Psychiatry & Neurology (Psychiatry)
4519 ADMIRALTY WAY STE 110
MARINA DEL REY, CA 90292

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 Kimberly Tangen Phd, Licensed Psychologist, Inc.'s NPI number?

The NPI number for Kimberly Tangen Phd, Licensed Psychologist, Inc. is 1457806770. It was assigned to this organization in the NPPES registry on August 16, 2016.

Where is Kimberly Tangen Phd, Licensed Psychologist, Inc. located?

Kimberly Tangen Phd, Licensed Psychologist, Inc. is located at 4519 Admiralty Way Ste 110, Marina Del Rey, CA 90292. The listed phone number is (323) 538-4779.

What is Kimberly Tangen Phd, Licensed Psychologist, Inc.'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 Kimberly Tangen Phd, Licensed Psychologist, Inc. was last updated on December 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.