DR. CHARLES KODIMER PHD NPI 1023040599

NPI Information

  • NPI: 1023040599
  • Provider Name: DR. CHARLES KODIMER, PHD
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10927 DOWNEY AVE STE C
    DOWNEY, CA
    ZIP 90241
  • Phone: (562) 861-6180

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NPI Details

DR. Charles Kodimer, PHD is a clinical psychologist in Downey, CA with 49 years of experience. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Charles Kodimer, PHD NPI is 1023040599. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10927 DOWNEY AVE STE C
DOWNEY, CA
ZIP 90241-739
Phone: (562) 861-6180
Fax: (951) 694-0553

The NPI 1023040599 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 8/25/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical NeuropsychologistPSY 6629CALIFORNIANo
2106H00000XMarriage & Family TherapistMFC 6318CALIFORNIANo
3103TC0700XPsychologistClinicalPSY 6629CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CP6629MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2WCP6629AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3CP6629AMEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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