DR. KELLY GONDERMAN PSY.D.
NPI 1740658657
Psychologist - Clinical in Whittier, CA

Q: What is Kelly Gonderman's NPI number?

The NPI number for Kelly Gonderman is 1740658657. It was assigned to this individual provider in the NPPES registry on September 9, 2015.

Q: What is Kelly Gonderman'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 Kelly Gonderman was last updated on November 19, 2023. 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.

Active since September 09, 2015

11911 WASHINGTON BLVD, WHITTIER, CA 90606(562) 698-8888(562) 698-8815 Get Directions Write a Review

NPPES record last updated: November 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kelly Gonderman Psy.d. NPPES

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

DR. KELLY GONDERMAN PSY.D. (NPI 1740658657) is an individual clinical provider in Whittier, California, licensed in California (31284) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1740658657

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KELLY GONDERMANCredential: PSY.D.

Location Address11911 WASHINGTON BLVDWhittier, CA 90606-2607

Mailing Address11911 Washington BlvdWhittier, CA 90606-2607 · (562) 698-8888 · Fax (562) 698-8815

Phone(562) 698-8888

Fax(562) 698-8815

Sole ProprietorNo

Enumeration DateSeptember 9, 2015

Last NPPES UpdateNovember 19, 2023

NPPES CertifiedNovember 19, 2023

✔ NPI 1740658657 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 · 31284

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.

11911 WASHINGTON BLVD, Whittier, CA 90606

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Kelly Gonderman's NPI number?

The NPI number for Kelly Gonderman is 1740658657. It was assigned to this individual provider in the NPPES registry on September 9, 2015.

Where is Kelly Gonderman located?

Kelly Gonderman practices at 11911 Washington Blvd, Whittier, CA 90606. The listed phone number is (562) 698-8888.

What is Kelly Gonderman's specialty?

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

What insurance does Kelly Gonderman accept?

Health plans from Providence Health Plan list Kelly Gonderman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Gonderman was last updated on November 19, 2023. 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.