Individual provider Active NPI

Cathia T. Walters, PSYD

  • Clinical Psychologist
  • Pinole, CA
National Provider Identifier
1144382920
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY20242 Issued in CA
Practice address
2161 San Pablo Ave
Pinole, CA 94564-1701
Phone
(510) 499-4054
NPI assigned
Dec 15, 2006
Last updated
Feb 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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 PSY20242 CA Primary

Addresses

Primary practice location

2161 San Pablo Ave
Pinole, CA 94564-1701

Mailing address

2161 San Pablo Ave
Pinole, CA 94564-1701
Phone (510) 499-4054

Other names 1

  • Dr. Cathia Walters-Knight Other name

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
I20100303000235 CA Practitioner - Clinical Psychologist 0345385217 Practice locations: El Cerrito, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY20242CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Walters Wellness & Psychology Group, Apc Clinical CurrentSince Sep 28, 2021 Accepting new patients

Locations

2161 San Pablo Ave
Pinole, CA 94564
Phone (510) 499-4054

Organizations & group practices 1

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1144382920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 SAN PABLO AVE",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945641701",
            "telephone_number": "510-499-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 SAN PABLO AVE",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945641701",
            "telephone_number": "510-499-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "CATHIA",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHIA",
            "last_name": "WALTERS-KNIGHT",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pinole, CA

Sources for this page

Verify at the official NPI Registry.