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DR. KENDRA NICKERSON PHD
NPI 1740498625
Psychologist - Clinical in Pasadena, CA

Active since May 21, 2007
236 S MENTOR AVE APT 7, PASADENA, CA 91106(626) 354-4623 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kendra Nickerson Phd NPPES

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

DR. KENDRA NICKERSON PHD (NPI 1740498625) is an individual clinical provider in Pasadena, California, licensed in California (PSY21039) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1740498625
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KENDRA NICKERSONCredential: PHD
Location Address236 S MENTOR AVE APT 7Pasadena, CA 91106-3218
Mailing Address236 S Mentor Ave Apt 7Pasadena, CA 91106-3218 · (626) 354-4623
Phone(626) 354-4623
Sole ProprietorNo
Enumeration DateMay 21, 2007
Last NPPES UpdateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1740498625 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 · PSY21039
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.
236 S MENTOR AVE APT 7, Pasadena, CA 91106
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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 Kendra Nickerson's NPI number?

The NPI number for Kendra Nickerson is 1740498625. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Kendra Nickerson located?

Kendra Nickerson practices at 236 S Mentor Ave Apt 7, Pasadena, CA 91106. The listed phone number is (626) 354-4623.

What is Kendra Nickerson'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 Kendra Nickerson was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.