DR. CORY MCKINSEY PSYD
NPI 1992053599
Psychologist in Pasadena, CA

Active since August 29, 2012PECOS Enrolled
960 E GREEN ST STE 206, PASADENA, CA 91106(626) 658-8077 Get Directions Write a Review

NPPES record last updated: August 31, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 31, 2019, Apr 12, 2019, Aug 7, 2017 (3 updates tracked since 2017).

About Dr. Cory Mckinsey Psyd NPPES

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

DR. CORY MCKINSEY PSYD (NPI 1992053599) is an individual psychologist in Pasadena, California and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992053599
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. CORY MCKINSEYCredential: PSYD
Location Address960 E GREEN ST STE 206Pasadena, CA 91106-2401
Mailing AddressPo Box 627Pasadena, CA 91102-0627
Sole ProprietorNo
Enumeration DateAugust 29, 2012
Last NPPES UpdateAugust 31, 20193 updates tracked since enumeration
✔ NPI 1992053599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
960 E GREEN ST STE 206, Pasadena, CA 91106

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Cory Mckinsey Psyd 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.

Medicare Billing Reassignment

Medicare enrollment records show Cory Mckinsey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1625 SCHRADER BLVD
Los Angeles, CA 90028
  • Reassigned Medicare billing, California enrollment
  • 110 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

Chiropractor (Independent Medical Examiner)
960 E GREEN ST STE 206
PASADENA, CA 91106
Family Medicine
960 E GREEN ST STE 206
PASADENA, CA 91106
Nurse Practitioner (Family)
960 E GREEN ST STE 206
PASADENA, CA 91106
Family Medicine
960 E GREEN ST STE 206
PASADENA, CA 91106
Chiropractor
960 E GREEN ST STE 206
PASADENA, CA 91106
Chiropractor
960 E GREEN ST STE 206
PASADENA, CA 91106

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 Cory Mckinsey's NPI number?

The NPI number for Cory Mckinsey is 1992053599. It was assigned to this individual provider in the NPPES registry on August 29, 2012.

Where is Cory Mckinsey located?

Cory Mckinsey practices at 960 E Green St Ste 206, Pasadena, CA 91106. The listed phone number is (626) 658-8077.

What is Cory Mckinsey's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Cory Mckinsey enrolled in Medicare?

Yes. Cory Mckinsey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cory Mckinsey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cory Mckinsey reassigns Medicare benefits to Los Angeles Lgbt Center (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cory Mckinsey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Cory Mckinsey was last updated on August 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.