Kenny Karyadi, PHD
NPI 1699279679 · Clinical Neuropsychologist · Los Angeles, CA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenny Karyadi, PHD is a Clinical Neuropsychologist provider in Los Angeles, CA (NPI 1699279679).
Provider details
- NPI number
- 1699279679
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- PSY29812 (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
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2018-03-22
- Last updated
- 2021-12-03
- Certified
- 2020-06-18
Frequently asked questions
- What is Kenny Karyadi's NPI number?
- Kenny Karyadi's National Provider Identifier (NPI) is 1699279679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenny Karyadi's specialty?
- Kenny Karyadi is listed in the NPPES registry with a primary specialty of Clinical Neuropsychologist (Behavioral Health & Social Service Providers).
- Where is Kenny Karyadi located?
- Kenny Karyadi's practice location on file with NPPES is 11835 W Olympic Blvd Ste 1265e, Los Angeles, CA 90064-5814.
- What is Kenny Karyadi's phone number?
- The practice phone number listed in the NPPES registry for Kenny Karyadi is (310) 273-4843.
- Does Kenny Karyadi accept Medicare?
- Kenny Karyadi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenny Karyadi's NPI active?
- Yes — Kenny Karyadi's NPI (1699279679) is active in the NPPES registry as of the last update on 2021-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.