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

Kristin Renee Goradietsky

Individual provider Clinical Psychologist · NPI 1427381086

Kristin Renee Goradietsky is a Clinical Psychologist in LA Crescenta, California. Qualified in 2023, 3 years ago. Practices with Katie Enney Psychologist Inc, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2009

Practice location Address checks out

2512 Foothill Blvd
LA Crescenta, CA 91214-3506
Phone: (626) 214-5092
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY36152 (CA)

Record details

NPI number1427381086
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 15, 2009
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Katie Enney Psychologist Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in LA Crescenta