Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth Hartline, PSYD

Individual provider Clinical Neuropsychologist · NPI 1114472180

Dr. Kenneth Hartline, PSYD is a Clinical Psychologist in Los Angeles, California. Qualified in 2015, 11 years ago. Works from 3 locations. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2016
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

444 S San Vicente Blvd Ste 103
Los Angeles, CA 90048-4169
Phone: (310) 423-9722
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2070 Century Park E Ste P456, Los Angeles, CA 90067-1907 — (310) 423-9722
  • 8700 Beverly Blvd Ste 7409, West Hollywood, CA 90048-1804 — (310) 423-9722

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PSY28449 (CA)

Record details

NPI number1114472180
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedAugust 19, 2016
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Los Angeles