Katelin Double, M.A.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

103311 Issued in NC

Practice address

311 Winston St
Los Angeles, CA 90013-1519

Phone

(213) 893-1960

Fax

(213) 229-9061

NPI assigned

Jun 23, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Clinical Psychologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Pisgah Institute for Psychotherapy and Education PAGroup PAC ID 5294622809, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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

• The Pisgah Institute for Psychotherapy & Education, P.a.

  • Psychologist
  • Asheville, NC
  • NPI 1871507038
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1124479860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 ZILLICOA ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011079",
            "telephone_number": "828-254-9494",
            "fax_number": "828-250-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 WINSTON ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131519",
            "telephone_number": "213-893-1960",
            "fax_number": "213-229-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUBLE",
        "first_name": "KATELIN",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "94022057",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "103311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tristin A Dotson
• Diane Marie Dottsb, BS
• Dotun Ogunyemi MD Incorporated
• Dotun Ogunyemi MD Incorporated
• Eve Jeanine Doty, CPO
• Amy Doublet
• Roberta L. Doucet, MD
• Milton Joseph Doucette III
• Psalms Doucettperry
• Tricia D Doud, PSYD

• Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.