KATHRYN CUMMINS
NPI 1891030391
Clinical Neuropsychologist in San Pedro, CA

Q: What is Kathryn Cummins's NPI number?

The NPI number for Kathryn Cummins is 1891030391. It was assigned to this individual provider in the NPPES registry on December 10, 2012.

Q: What is Kathryn Cummins's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Cummins was last updated on June 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 December 10, 2012PECOS EnrolledAccepts Medicare Assignment

2403 S MORAY AVE, SAN PEDRO, CA 90732(424) 488-9973 Get Directions Write a Review

NPPES record last updated: June 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kathryn Cummins NPPES

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

KATHRYN CUMMINS (NPI 1891030391) is an individual clinical neuropsychologist in San Pedro, California, licensed in California (PSY27282) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1891030391

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameKATHRYN CUMMINS

Location Address2403 S MORAY AVESan Pedro, CA 90732-4342

Mailing Address2403 S Moray AveSan Pedro, CA 90732-4342 · (424) 488-9973

Phone(424) 488-9973

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateDecember 10, 2012

Last NPPES UpdateJune 5, 2015

✔ NPI 1891030391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in CA · PSY27282

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedCounselorTaxonomy 101Y00000X · License PSY27282 (CA)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License PSY27282 (CA)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License PSY27282 (CA)

2403 S MORAY AVE, San Pedro, CA 90732

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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 and accepts Medicare assignment

Kathryn Cummins 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 ID9739492943

PECOS Enrollment IDI20150716003061

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 8

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

DR. HANH VIVIAN TRAN D.D.S.

Dentist

2403 S MORAY AVE, SUITE #2
SAN PEDRO, CA 90732

Los Angeles County (310) 832-4203

YVETTE EL SAYAD

Psychologist

2403 S MORAY AVE
SAN PEDRO, CA 90732

Los Angeles County (310) 519-9011

DR. SIAMAK STEPHEN MARZBAN M.D.

Internal Medicine

2403 S MORAY AVE, STE 2B
SAN PEDRO, CA 90732

Los Angeles County (310) 832-2694

DR. JAMES STEVEN BRUST M.D.

Psychiatry & Neurology (Psychiatry)

2403 S MORAY AVE, SUITE 4
SAN PEDRO, CA 90732

Los Angeles County (310) 832-7943

DR. LIANA DELIKYAN PSY.D.

Psychologist (Clinical)

2403 S MORAY AVE, SUITE 1
SAN PEDRO, CA 90732

Los Angeles County (310) 519-9011

SIAMAK STEPHEN MARZBAN,M.D.,INC

Clinic/Center

2403 S MORAY AVE
SAN PEDRO, CA 90732

Los Angeles County (310) 832-2694

JAMES S. BRUST, M.D., INC.

Psychiatry & Neurology (Psychiatry)

2403 S MORAY AVE, SUITE #4
SAN PEDRO, CA 90732

Los Angeles County (310) 832-7943

MS. JANET IRENE BLASER M.A., M.F.T.

Marriage & Family Therapist

2403 S MORAY AVE, SUITE 1
SAN PEDRO, CA 90732

Los Angeles County (310) 892-5315

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 Kathryn Cummins's NPI number?

The NPI number for Kathryn Cummins is 1891030391. It was assigned to this individual provider in the NPPES registry on December 10, 2012.

Where is Kathryn Cummins located?

Kathryn Cummins practices at 2403 S Moray Ave, San Pedro, CA 90732. The listed phone number is (424) 488-9973.

What is Kathryn Cummins's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Kathryn Cummins enrolled in Medicare?

Yes. Kathryn Cummins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kathryn Cummins was last updated on June 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.