Kristen Virginia Eddy, PSYD, MACL
NPI 1013466994ActiveIndividual· Psychologist, Clinical· Los Angeles, CA
Psychologist, Clinical (PSYD, MACL) with Executive Mental Health, Inc, practicing in Los Angeles, California. Medicare paid $165,504 for services to 250 patients in 2024.
Overview
| NPI | 1013466994 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD, MACL |
| Sole proprietor | No |
| NPI issued | Oct 3, 2016 |
| Last updated in NPPES | May 31, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY29193 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 250 |
|---|---|
| Services billed | 2,991 across 12 procedure codes |
| Paid by Medicare | $165,504 |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Executive Mental Health, IncLos Angeles, CA · 47 clinicians
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