DR. SARAH KATE MCGOWAN PH.D.
NPI 1619338514
Psychologist in Los Angeles, CA

Active since March 19, 2016Opted out of Medicare · through Apr 1, 2027
12011 SAN VICENTE BLVD, SUITE 402, LOS ANGELES, CA 90049(424) 248-7617 Get Directions Write a Review

NPPES record last updated: March 19, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sarah Kate Mcgowan Ph.d. NPPES

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

DR. SARAH KATE MCGOWAN PH.D. (NPI 1619338514) is an individual psychologist in Los Angeles, California, licensed in California (27857) and active in the NPI registry since March 2016. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1619338514
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SARAH KATE MCGOWANCredential: PH.D.
Location Address12011 SAN VICENTE BLVD, SUITE 402Los Angeles, CA 90049-4926
Mailing Address12011 San Vicente Blvd, Suite 402Los Angeles, CA 90049-4926 · (424) 248-7617
Sole ProprietorYes
Enumeration DateMarch 19, 2016
NPI 1619338514 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 · 27857
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.
12011 SAN VICENTE BLVD, Los Angeles, CA 90049

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. Sarah Kate Mcgowan 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 April 1, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017
Opt-Out In Effect ThroughApril 1, 2027Opt-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.

Psychiatry & Neurology (Psychiatry)
12011 SAN VICENTE BLVD, 408
LOS ANGELES, CA 90049
Psychologist (Clinical)
12011 SAN VICENTE BLVD, SUITE 408
LOS ANGELES, CA 90049
Psychologist
12011 SAN VICENTE BLVD, SUITE 408
LOS ANGELES, CA 90049
Psychologist (Clinical)
12011 SAN VICENTE BLVD, SUITE 402
LOS ANGELES, CA 90049
Psychiatry & Neurology (Psychiatry)
12011 SAN VICENTE BLVD, SUITE 250
LOS ANGELES, CA 90049
Social Worker (Clinical)
12011 SAN VICENTE BLVD, SUITE 510
LOS ANGELES, CA 90049
Marriage & Family Therapist
12011 SAN VICENTE BLVD
LOS ANGELES, CA 90049
Marriage & Family Therapist
12011 SAN VICENTE BLVD, #300
LOS ANGELES, CA 90049

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 Sarah Kate Mcgowan's NPI number?

The NPI number for Sarah Kate Mcgowan is 1619338514. It was assigned to this individual provider in the NPPES registry on March 19, 2016.

Where is Sarah Kate Mcgowan located?

Sarah Kate Mcgowan practices at 12011 San Vicente Blvd Suite 402, Los Angeles, CA 90049. The listed phone number is (424) 248-7617.

What is Sarah Kate Mcgowan's specialty?

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

Is Sarah Kate Mcgowan enrolled in Medicare?

No. Sarah Kate Mcgowan has opted out of Medicare through April 1, 2027. 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 Sarah Kate Mcgowan was last updated on March 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.