Individual provider Active NPI

Katherine Ann Mehler, PH.D.

  • Clinical Psychologist
  • Pleasant Hill, CA
National Provider Identifier
1164586053
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY14237 Issued in CA
Practice address
81 Gregory LN
Suite 305
Pleasant Hill, CA 94523-3386
Phone
(510) 869-4295
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 PSY14237 CA Primary

Addresses

Primary practice location

81 Gregory LN
Suite 305
Pleasant Hill, CA 94523-3386

Mailing address

81 Gregory LN
Suite 305
Pleasant Hill, CA 94523-3386
Phone (510) 869-4295

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
I20060428000452 CA Practitioner - Clinical Psychologist 4789694142 Practice locations: Walnut Creek, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2960 Camino Diablo
Suite 200B
Walnut Creek, CA 94597-3960
Phone (510) 334-6842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
14237CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1164586053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 GREGORY LN",
            "address_2": "SUITE 305",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233386",
            "telephone_number": "510-869-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 GREGORY LN",
            "address_2": "SUITE 305",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233386",
            "telephone_number": "510-869-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHLER",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY14237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

Verify at the official NPI Registry.