Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kristen Virginia Eddy, PSYD, MACL

Individual provider Clinical Psychologist · NPI 1013466994

Dr. Kristen Virginia Eddy, PSYD, MACL is a Clinical Psychologist in Los Angeles, California. Qualified in 2006, 20 years ago. Practices with Executive Mental Health, Inc, a 47-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
20
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.

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Practice location Address checks out

11835 W Olympic Blvd Ste 1265E
Los Angeles, CA 90064
Phone: (310) 273-4843
Fax: (310) 273-5056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY29193 (CA)

Record details

NPI number1013466994
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD , MACL
Sole proprietorNo
NPI enumeratedOctober 3, 2016
Last updated in NPPESMay 31, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Executive Mental Health, Inc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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