Active NPI
Rebecca Iza Katz, MD
- Child & Adolescent Psychiatry Physician
- Carmel, CA
National Provider Identifier
1093245250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- A183454
- Practice address
- 3771 Rio Rd Ste 111
Carmel, CA 93923-8671 - Phone
- (831) 293-7300
- Fax
- (940) 301-3944
- NPI assigned
- Jun 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | DR.0064878 | CO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | MT214439 | PA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | A183454 | CA | Primary |
Addresses
Primary practice location
3771 Rio Rd Ste 111
Carmel, CA 93923-8671
Mailing address
3771 Rio Rd Ste 111
Carmel, CA 93923-8671
Phone (831) 293-7300
Other practice location 1
13123 E 16th Ave
Aurora, CO 80045-7106
Phone (720) 777-4524
Other practice location 2
5501 Old York Rd
Philadelphia, PA 19141-3018
Phone (215) 456-9105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT214439 | Other | PA | PENNSYLVANIA STATE BOARD OF MEDICINE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 4, 2024 through Sep 4, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A183454 | CA | MD | Child & Adolescent Psychiatry Physician |
| MT214439 | PA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1093245250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3771 RIO RD STE 111",
"city": "CARMEL",
"state": "CA",
"postal_code": "939238671",
"telephone_number": "831-293-7300",
"fax_number": "940-301-3944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3771 RIO RD STE 111",
"city": "CARMEL",
"state": "CA",
"postal_code": "939238671",
"telephone_number": "831-293-7300",
"fax_number": "940-301-3944"
}
],
"practiceLocations": [
{
"address_1": "13123 E 16th Ave",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800457106",
"country_code": "US",
"telephone_number": "720-777-4524",
"fax_number": "720-777-7309",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5501 Old York Rd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191413018",
"country_code": "US",
"telephone_number": "215-456-9105",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KATZ",
"first_name": "REBECCA",
"middle_name": "IZA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-19",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CO",
"license": "DR.0064878",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT214439",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "A183454",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA STATE BOARD OF MEDICINE",
"identifier": "MT214439",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.