Active NPI
Catherine Clair Cavette, PH.D. PSYCHOANALYST
- Clinical Psychologist
- Berkeley, CA
National Provider Identifier
1174024541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY11138
- Practice address
- 1700 Shattuck Ave
Berkeley, CA 94709-3402 - Phone
- (510) 849-0415
- NPI assigned
- Feb 22, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY11138 | CA | Primary |
Addresses
Primary practice location
1700 Shattuck Ave
Berkeley, CA 94709-3402
Mailing address
1633 Bonita Ave
Berkeley, CA 94709-2021
Phone (510) 849-0415
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190807001608 | CA | Practitioner - Clinical Psychologist | 4981931433 | Practice locations: Berkeley, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1700 Shattuck Ave
Suite 4
Berkeley, CA 94709-1661
Phone (510) 843-1522
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY11138 | CA | MD | Clinical Psychologist |
| 11138 | CA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1174024541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1633 BONITA AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947092021",
"telephone_number": "510-849-0415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 SHATTUCK AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947093402",
"telephone_number": "510-849-0415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVETTE",
"first_name": "CATHERINE",
"middle_name": "CLAIR",
"name_prefix": "Dr.",
"credential": "PH.D. PSYCHOANALYST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-22",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY11138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.