Individual provider Active NPI

Kathryn Lee Rehberg, PSY.D.

  • Clinical Psychologist
  • Redding, CA
National Provider Identifier
1023151065
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY23937 Issued in CA
Practice address
1650 Oregon St Ste 209
Redding, CA 96001-1757
Phone
(530) 435-6092
Fax
(530) 215-1444
NPI assigned
Feb 15, 2007
Last updated
Sep 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY23937 CA Primary

Addresses

Primary practice location

1650 Oregon St Ste 209
Redding, CA 96001-1757

Mailing address

PO Box 990273
Redding, CA 96099-0273
Phone (530) 356-1864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130506000168 CA Practitioner - Clinical Psychologist 8325285646 Reassigns benefits to 1 organization
Practice locations: Redding, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redding RancheriaGroup PAC ID 7810969847, 32 clinicians

Practice addresses (Care Compare)

1441 Liberty St
Redding, CA 96001-0811
Phone 53022427001740

353 Park Marina Cir
Redding, CA 96001-0965
Phone (530) 356-1864

PO Box
Suite 990273
Redding, CA 96099-0273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23937CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Redding Rancheria CurrentSince Feb 8, 2014 Accepting new patients
Redding Rancheria CurrentSince Feb 8, 2014 Accepting new patients
Psychwest, Clinical and Forensic Psychology Clinical Past Accepting new patients
Psychwest, Clinical & Forensic Psychology, Inc. Clinical PastSince Jul 18, 2015 Accepting new patients

Locations

1441 Liberty St
Redding, CA 96001
Phone (530) 224-2700

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1023151065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990273",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960990273",
            "telephone_number": "530-356-1864",
            "fax_number": "530-760-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 OREGON ST STE 209",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011757",
            "telephone_number": "530-435-6092",
            "fax_number": "530-215-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHBERG",
        "first_name": "KATHRYN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.