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

Kenny A Karyadi, PHD

Individual provider Clinical Neuropsychologist · NPI 1699279679

Kenny A Karyadi, PHD is a Clinical Psychologist in Los Angeles, California. Qualified in 2016, 10 years ago. Practices with Hyde Street Community Services, Inc, a 14-clinician group and offers telehealth. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2018
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

11835 W Olympic Blvd Ste 1265E
Los Angeles, CA 90064-5814
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 Neuropsychologist (primary) Taxonomy 103G00000X · Licence PSY29812 (CA)

Record details

NPI number1699279679
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 22, 2018
Last updated in NPPESDecember 3, 2021
Certification dateJune 18, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Hyde Street Community Services, Inc — 14 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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