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DR. SANDRA SUE KAGAN PH.D.
NPI 1982775532
Counselor in Valley Village, CA

Active since November 13, 2006Opted out of Medicare · through Jan 1, 2028
4821 BEEMAN AVE, VALLEY VILLAGE, CA 91607(818) 789-7575(818) 761-4449 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sandra Sue Kagan Ph.d. NPPES

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

DR. SANDRA SUE KAGAN PH.D. (NPI 1982775532) is an individual counselor in Valley Village, California, licensed in California (MFT067730) and active in the NPI registry since November 2006. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1982775532
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDR. SANDRA SUE KAGANCredential: PH.D.
Location Address4821 BEEMAN AVEValley Village, CA 91607-3402
Mailing Address12400 Ventura Blvd, 641Studio City, CA 91604-2406 · (818) 789-7575 · Fax (818) 761-4449
Phone(818) 789-7575
Fax(818) 761-4449
Sole ProprietorYes
Enumeration DateNovember 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1982775532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in CA · MFT067730
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
4821 BEEMAN AVE, Valley Village, CA 91607
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Sandra Sue Kagan Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Sandra Kagan's NPI number?

The NPI number for Sandra Kagan is 1982775532. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Sandra Kagan located?

Sandra Kagan practices at 4821 Beeman Ave, Valley Village, CA 91607. The listed phone number is (818) 789-7575.

What is Sandra Kagan's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Sandra Kagan enrolled in Medicare?

No. Sandra Kagan has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Sandra Kagan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.