Kenneth Hartline, PSY.D.
NPI 1114472180 · Clinical Neuropsychologist · Los Angeles, CA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Hartline, PSY.D. is a Clinical Neuropsychologist provider in Los Angeles, CA (NPI 1114472180).
Provider details
- NPI number
- 1114472180
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Male
- Sole proprietor
- No
- License
- PSY28449 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 2070 Century Park E Ste P456Los Angeles, CA 90067-1907Phone: (310) 423-9722
- 8700 Beverly Blvd Ste 7409West Hollywood, CA 90048-1804Phone: (310) 423-9722
Registry dates
- Enumerated
- 2016-08-19
- Last updated
- 2025-11-12
- Certified
- 2025-11-12
Frequently asked questions
- What is Kenneth Hartline's NPI number?
- Kenneth Hartline's National Provider Identifier (NPI) is 1114472180, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Hartline's specialty?
- Kenneth Hartline is listed in the NPPES registry with a primary specialty of Clinical Neuropsychologist (Behavioral Health & Social Service Providers).
- Where is Kenneth Hartline located?
- Kenneth Hartline's practice location on file with NPPES is 444 S San Vicente Blvd Ste 103, Los Angeles, CA 90048-4169.
- What is Kenneth Hartline's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Hartline is (310) 423-9722.
- Does Kenneth Hartline accept Medicare?
- Kenneth Hartline is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Hartline's NPI active?
- Yes — Kenneth Hartline's NPI (1114472180) is active in the NPPES registry as of the last update on 2025-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.