MEDICARE: STUDIO SESSIONS PSYCHOLOGY, A PROFESSIONAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1659200426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STUDIO SESSIONS PSYCHOLOGY, A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	4643 WINONA AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-3341
Country	:	US
Telephone Number	:	818-661-0637
Fax Number	:

Provider Business Practice Location Address
First Line	:	4643 WINONA AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-3341
Country	:	US
Telephone Number	:	818-661-0637
Fax Number	:

Authorized Official
Title or Position	:	CEO, CFO, SECRETARY
Name	:	DR. WESLEY KAYNE
Credential	:	PHD
Telephone Number	:	818-661-0637

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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