DAVID KENDIS (PSYD) – Psychologist, NPI 1265807119

DAVID KENDIS (PSYD) is a healthcare provider. based in Fountain valley, California. specializing in PSYCHIATRY. They hold the professional credentials PSYD. The NPI Number for DAVID KENDIS (PSYD) is 1265807119

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DAVID KENDIS (PSYD)
NPI
1265807119
Phone
Not provided
Address
10241 KINGS RIVER CT
Enumeration Date
3 December 2015
Last Update Date
8 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7068235250
Graduation Year
2015 (11 years ago)
PAC ID
5294079349
Group Practice PAC ID
2769627660
Professional Enrollment ID
I20250404000812
Address ID
GA309072010AU207XXTRCE300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:10State licenses:0Digital endpointsOther names

4,134 PSYCHIATRY in CA

Provider Addresses for DAVID KENDIS (PSYD)

  • 10241 KINGS RIVER CT

    FOUNTAIN VALLEY, CA 927085902

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250404000812IPsychiatryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92708)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769627660View full group profile
NameSpecialtyState
Mental Health CounselorTX
Qualified Speech Language PathologistNJ
Mental Health CounselorGA
-GA
Clinical PsychologistGA
Clinical Psychologist, PsychiatryCA
Clinical Social WorkerGA
Clinical PsychologistGA

Reviews

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Frequently asked questions

Is there an official ID for DAVID KENDIS (PSYD) in U.S. healthcare records?
The official identifier for DAVID KENDIS (PSYD) is NPI 1265807119.
Is there an active status for DAVID KENDIS (PSYD)?
For scheduling context, DAVID KENDIS (PSYD) is shown as active in the registry.
What kind of doctor is DAVID KENDIS (PSYD)?
DAVID KENDIS (PSYD) is associated with Psychologist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DAVID KENDIS (PSYD)?
Directory geography for DAVID KENDIS (PSYD) centers on Fountain Valley, California.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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