DR. KRISTOPHER IAN MATHIS PH.D.
NPI 1558795807
Psychologist in Los Angeles, CA

Active since August 22, 2013Opted out of Medicare · through Dec 11, 2026
221 WESTWOOD PLZ, SUITE 2437, LOS ANGELES, CA 90095(310) 384-0374 Get Directions Write a Review

NPPES record last updated: August 22, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kristopher Ian Mathis Ph.d. NPPES

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

DR. KRISTOPHER IAN MATHIS PH.D. (NPI 1558795807) is an individual psychologist in Los Angeles, California, licensed in California (PSY 25704) and active in the NPI registry since August 2013. He has opted out of Medicare through December 11, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1558795807
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. KRISTOPHER IAN MATHISCredential: PH.D.
Location Address221 WESTWOOD PLZ, SUITE 2437Los Angeles, CA 90095-1556
Mailing Address221 Westwood Plz, Suite 2437Los Angeles, CA 90095-1556 · (310) 384-0374
Sole ProprietorNo
Enumeration DateAugust 22, 2013
NPI 1558795807 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 25704
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.
221 WESTWOOD PLZ, Los Angeles, CA 90095

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. Kristopher Ian Mathis Ph.d. 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 December 11, 2018 through December 11, 2026.

Opt-Out Effective DateDecember 11, 2018
Opt-Out In Effect ThroughDecember 11, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

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

Licensed Vocational Nurse
221 WESTWOOD PLZ
LOS ANGELES, CA 90095
Optometrist
221 WESTWOOD PLZ
LOS ANGELES, CA 90095
Nurse Practitioner (Family)
221 WESTWOOD PLZ
LOS ANGELES, CA 90095
Internal Medicine
221 WESTWOOD PLZ
LOS ANGELES, CA 90095
Clinic/Center (Student Health)
221 WESTWOOD PLZ
LOS ANGELES, CA 90095
Nurse Practitioner (Family)
221 WESTWOOD PLZ
LOS ANGELES, CA 90095
Internal Medicine
221 WESTWOOD PLZ
LOS ANGELES, CA 90095
Obstetrics & Gynecology (Gynecology)
221 WESTWOOD PLZ
LOS ANGELES, CA 90095

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 Kristopher Mathis's NPI number?

The NPI number for Kristopher Mathis is 1558795807. It was assigned to this individual provider in the NPPES registry on August 22, 2013.

Where is Kristopher Mathis located?

Kristopher Mathis practices at 221 Westwood Plz Suite 2437, Los Angeles, CA 90095. The listed phone number is (310) 384-0374.

What is Kristopher Mathis's specialty?

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

Is Kristopher Mathis enrolled in Medicare?

No. Kristopher Mathis has opted out of Medicare through December 11, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kristopher Mathis was last updated on August 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.