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MAX KARDOS
NPI 1629596820
Psychologist - Clinical Child & Adolescent in Sacramento, CA

Active since September 07, 2017PECOS Enrolled
1555 RIVER PARK DR STE 103, SACRAMENTO, CA 95815(916) 975-7715 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Max Kardos NPPES

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

MAX KARDOS (NPI 1629596820) is an individual clinical child & adolescent provider in Sacramento, California, licensed in California (35094) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fairfield.

NPPES Registry Identity

NPI1629596820
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameMAX KARDOS
Location Address1555 RIVER PARK DR STE 103Sacramento, CA 95815-4603
Mailing Address1516 41st StSacramento, CA 95819-4043 · (650) 218-2158
Phone(916) 975-7715
Sole ProprietorNo
Enumeration DateSeptember 7, 2017
Last NPPES UpdateJune 19, 2024
NPPES CertifiedJune 19, 2024
✔ NPI 1629596820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in CA · 35094
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1555 RIVER PARK DR STE 103, Sacramento, CA 95815
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Secondary Practice Location 1

Location 1801 Empire st.Fairfield, CA 94533 · Phone (707) 425-5744 ext. 155

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Max Kardos is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Max Kardos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Assessment And Development Center Of Sacramento
Same address
Clinical
1555 RIVER PARK DR STE 103
Sacramento, CA 95815
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1750916177 (916) 692-8837

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

SHIBA RAHIMI
Psychologist (Clinical)
1555 RIVER PARK DR STE 103
SACRAMENTO, CA 95815
Sacramento County (916) 692-8837
ASSESSMENT AND DEVELOPMENT CENTER OF SACRAMENTO
Psychologist (Clinical)
1555 RIVER PARK DR STE 103
SACRAMENTO, CA 95815
Sacramento County (916) 692-8837

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 Max Kardos's NPI number?

The NPI number for Max Kardos is 1629596820. It was assigned to this individual provider in the NPPES registry on September 7, 2017.

Where is Max Kardos located?

Max Kardos practices at 1555 River Park Dr Ste 103, Sacramento, CA 95815. The listed phone number is (916) 975-7715.

What is Max Kardos's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Max Kardos enrolled in Medicare?

Yes. Max Kardos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Max Kardos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Max Kardos reassigns Medicare benefits to Assessment And Development Center Of Sacramento (Sacramento, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Max Kardos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Max Kardos was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.