Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356821060 Individual Practitioner Female Practitioner

Dr. Kathryn Han Koo , PhD

Psychologist • Stanton, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kathryn Koo, PhD is a certified Psychologist practicing in Stanton, CA. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Koo delivers high-quality medical care to the local community at 12362 BEACH BLVD STE 10.

Dr. Koo is affiliated with Livingstone Community Development Corporation and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

12362 Beach Blvd Ste 10

Stanton, CA 906803944

Telephone 7142489500
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Stanton, CA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs Matches City Avg
City Avg: 27.0 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Stanton, CA (7695 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Koo (27 Years) 27 Yrs
Stanton Specialty Average (27.0 Years) 27.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-08-10
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License CA 30260

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.

Hospital & Practice Group Affiliations

Livingstone Community Development Corporation

12362 Beach Blvd, Stanton, CA 906803944

Phone: 7142489500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
NPI 1093905481

Doctor of Dental Surgery

Heejin Kim , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1184242976

NURSEPRACTITIONER

Anna Jang , FNP

Nurse Practitioner - Family

NPI 1184340333

Family Nurse Practitioner

NPI 1356035653

NURSEPRACTITIONER

NPI 1427432756

Doctor of Dental Surgery

Collin Yamaka , FNP-C

Nurse Practitioner - Family

NPI 1508517517

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address August 10, 2023

Registered at 12362 BEACH BLVD STE 10, STANTON, CA 906803944 (Tel: 7142489500)

NPI Profile Active August 21, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 21, 2018

Registered at 12362 BEACH BLVD STE 10, STANTON, CA 906803944 (Tel: 7142489500)

📍
Updated Business Mailing Address August 21, 2018

Registered at 2 WINDSOR, IRVINE, CA 926206209 (Tel: 9492958990)

👤
Provider Name / Credentials Updated August 21, 2018

Recorded as KATHRYN KOO, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2018

Psychologist (License #30260 in CA)

🟢
Initial NPI Registration & Enumeration August 21, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356821060
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2018
Last Update: August 10, 2023
Sole Proprietor: No

Mailing Address

12362 Beach Blvd Ste 10

Stanton, CA 906803944

Phone: 7142489500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.