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

Dr. Krystal Bowen, PSYD

Individual provider Psychologist · NPI 1609258516

Dr. Krystal Bowen, PSYD is a Clinical Psychologist in Los Angeles, California. Qualified in 2018, 8 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2015
Specialties on file
3
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

4211 Avalon Blvd
Los Angeles, CA 90011-5622
Phone: (323) 802-0407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4760 Sepulveda Blvd, Culver City, CA 90230-4820 — (310) 390-6612
  • 8300 S Vermont Ave, Los Angeles, CA 90044-3493 — (323) 525-6400
  • 8300 S Vermont Ave, Los Angeles, CA 90044-3493 — (310) 256-6488

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 32817 (CA)
Psychologist Taxonomy 103T00000X
Rehabilitation Counselor Taxonomy 225C00000X

Record details

NPI number1609258516
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJune 26, 2015
Last updated in NPPESAugust 31, 2023
Certification dateAugust 31, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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