Kathleen M. Condon, PSY.D
NPI 1053580308ActiveIndividual· Psychologist· Santa Cruz, CA
Psychologist (PSY.D) in Santa Cruz, California, licensed in CA and ID, with an NPI issued in February 2008. Enrolled in Medicare as practitioner - psychiatry.
Overview
| NPI | 1053580308 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D |
| Sole proprietor | No |
| NPI issued | Feb 20, 2008 |
| Last updated in NPPES | Aug 29, 2023 |
| Certified by provider | Aug 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 24048 | CA |
| Psychologist | 103T00000X | PSY-202418 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Psychiatry (CA) |
|---|
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