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

Kisha Bashkiharatee, PHD

Individual provider Mental Health Counselor · NPI 1275076267

Kisha Bashkiharatee, PHD is a Mental Health Counselor in Loma Linda, California. Qualified in 2014, 12 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2016
Specialties on file
4
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

24691 Stewart St
Loma Linda, CA 92354-2744
Phone: (985) 628-0682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6700 Indiana Ave, Riverside, CA 92506-4290 — (909) 599-1227

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 10181 (CA)
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Professional Counselor Taxonomy 101YP2500X · Licence 1762 (CA)

Record details

NPI number1275076267
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedNovember 23, 2016
Last updated in NPPESAugust 16, 2022
Certification dateAugust 15, 2022

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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