DR. SAMANTHA KUCAJ
NPI 1811444599
Psychologist - Clinical Child & Adolescent in Los Angeles, CA

Q: What is Samantha Kucaj's NPI number?

The NPI number for Samantha Kucaj is 1811444599. It was assigned to this individual provider in the NPPES registry on September 9, 2016.

Q: What is Samantha Kucaj's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Kucaj was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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, 2016PECOS Enrolled

300 UCLA MEDICAL PLZ STE 3300, LOS ANGELES, CA 90095(323) 825-0867(310) 206-4215 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 25, 2021, Mar 17, 2018, Aug 31, 2017 (3 updates tracked since 2017).

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About Dr. Samantha Kucaj NPPES

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

DR. SAMANTHA KUCAJ (NPI 1811444599) is an individual clinical child & adolescent provider in Los Angeles, California, licensed in California (PSY30599) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811444599

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameDR. SAMANTHA KUCAJ

Location Address300 UCLA MEDICAL PLZ STE 3300Los Angeles, CA 90095-6062

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8807 · Fax (310) 301-8751

Phone(323) 825-0867

Fax(310) 206-4215

Sole ProprietorYes

Enumeration DateSeptember 9, 2016

Last NPPES UpdateMarch 25, 20213 updates tracked since enumeration

NPPES CertifiedMarch 25, 2021

✔ NPI 1811444599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in CA · PSY30599

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.

300 UCLA MEDICAL PLZ STE 3300, Los Angeles, CA 90095

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samantha Kucaj 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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELSEY STILES PHD

Psychologist (Clinical)