KAYLAN ALTIS PSY.D.
NPI 1639649395
Psychologist - Clinical in San Jose, CA

Active since November 26, 2018
150 W HEDDING ST, SAN JOSE, CA 95110(573) 718-2860 Get Directions Write a Review

NPPES record last updated: April 16, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 16, 2020, Feb 12, 2019, Nov 26, 2018 (3 updates tracked since 2018).

About Kaylan Altis Psy.d. NPPES

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

KAYLAN ALTIS PSY.D. (NPI 1639649395) is an individual clinical provider in San Jose, California, licensed in California (30311) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1639649395
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKAYLAN ALTISCredential: PSY.D.
Location Address150 W HEDDING STSan Jose, CA 95110-1706
Mailing Address150 W Hedding StSan Jose, CA 95110-1706
Sole ProprietorNo
Enumeration DateNovember 26, 2018
Last NPPES UpdateApril 16, 20203 updates tracked since enumeration
NPPES CertifiedApril 16, 2020
NPI 1639649395 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 · 30311
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.
150 W HEDDING ST, San Jose, CA 95110

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.

Social Worker (Clinical)
150 W HEDDING ST
SAN JOSE, CA 95110
Social Worker (Clinical)
150 W HEDDING ST, CUSTODY MENTAL HEALTH
SAN JOSE, CA 95110
Marriage & Family Therapist
150 W HEDDING ST
SAN JOSE, CA 95110
Registered Nurse
150 W HEDDING ST
SAN JOSE, CA 95110
Marriage & Family Therapist
150 W HEDDING ST
SAN JOSE, CA 95110
Registered Nurse (Administrator)
150 W HEDDING ST
SAN JOSE, CA 95110
Social Worker (Clinical)
150 W HEDDING ST
SAN JOSE, CA 95110
Marriage & Family Therapist
150 W HEDDING ST
SAN JOSE, CA 95110

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 Kaylan Altis's NPI number?

The NPI number for Kaylan Altis is 1639649395. It was assigned to this individual provider in the NPPES registry on November 26, 2018.

Where is Kaylan Altis located?

Kaylan Altis practices at 150 W Hedding St, San Jose, CA 95110. The listed phone number is (573) 718-2860.

What is Kaylan Altis's specialty?

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

When was this NPI record last updated?

The NPPES record for Kaylan Altis was last updated on April 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.