DR. JOSEPH JOHNNY KOUDSI PSY.D.
NPI 1649557232
Psychologist - Clinical in Walnut Creek, CA

Q: What is Joseph Koudsi's NPI number?

The NPI number for Joseph Koudsi is 1649557232. It was assigned to this individual provider in the NPPES registry on November 9, 2011. The provider is also known as Dr. Johnny Koudsi Psy.D..

Q: What is Joseph Koudsi's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Joseph Koudsi was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since November 09, 2011PECOS EnrolledAccepts Medicare Assignment

2970 CAMINO DIABLO STE 300, WALNUT CREEK, CA 94597(925) 282-1778(415) 296-5299 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Joseph Johnny Koudsi Psy.d. NPPES

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

DR. JOSEPH JOHNNY KOUDSI PSY.D. (NPI 1649557232) is an individual clinical provider in Walnut Creek, California, licensed in California (24646) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Studio City, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1649557232

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JOSEPH JOHNNY KOUDSICredential: PSY.D.

Location Address2970 CAMINO DIABLO STE 300Walnut Creek, CA 94597-4001

Mailing Address2970 Camino Diablo Ste 300Walnut Creek, CA 94597-4001 · (925) 282-1778 · Fax (415) 296-5299

Phone(925) 282-1778

Fax(415) 296-5299

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateNovember 9, 2011

Last NPPES UpdateOctober 18, 2024

NPPES CertifiedOctober 18, 2024

✔ NPI 1649557232 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 · 24646

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.

2970 CAMINO DIABLO STE 300, Walnut Creek, CA 94597

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Other Names 1

Professional Name (2)Dr. Johnny Koudsi Psy.d.

Secondary Practice Location 1

Location 112214 Riverside DrStudio City, CA 91607-3830 · Phone (310) 284-3626

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joseph Johnny Koudsi Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608309760

PECOS Enrollment IDI20241028002074

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94597 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. MARIA EMMA ROSA CASTRO LACOUTURE M.D.

Psychiatry & Neurology (Psychiatry)