Active NPI
Katie Hoellwarth, PPSP
- School Psychologist
- Oakley, CA
National Provider Identifier
1013495969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 150140781
- Practice address
- 1141 Laurel Rd
Oakley, CA 94561-5906 - Phone
- (925) 625-7090
- Fax
- (925) 625-8300
- NPI assigned
- Aug 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 150140781 | CA | Primary |
Addresses
Primary practice location
1141 Laurel Rd
Oakley, CA 94561-5906
Mailing address
1141 Laurel Rd
Oakley, CA 94561-5906
Phone (925) 625-7090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150140781 | CA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533168000000",
"number": "1013495969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 LAUREL RD",
"city": "OAKLEY",
"state": "CA",
"postal_code": "945615906",
"telephone_number": "925-625-7090",
"fax_number": "925-625-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 LAUREL RD",
"city": "OAKLEY",
"state": "CA",
"postal_code": "945615906",
"telephone_number": "925-625-7090",
"fax_number": "925-625-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOELLWARTH",
"first_name": "KATIE",
"name_prefix": "Mrs.",
"credential": "PPSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-02",
"last_updated": "2018-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "150140781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.