Individual provider Active NPI

Catherine Alexander Mahler

  • Clinical Psychologist
  • Sonoma, CA
National Provider Identifier
1184770240
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 24349 Issued in CA
Practice address
620 Broadway
Sonoma, CA 95476-7002
Phone
(707) 815-3622
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 PSY 24349 CA Primary

Addresses

Primary practice location

620 Broadway
Sonoma, CA 95476-7002

Mailing address

PO Box 5423
Napa, CA 94581
Phone (707) 815-3622

Other practice location 1

1151 Broadway
Suite 204
Sonoma, CA 95476-7571
Phone (707) 815-3622

Other identifiers 1

IdentifierTypeStateIssuer
4605MedicaidCA

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
I20141114002302 CA Practitioner - Clinical Psychologist 4789806373 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY 24349CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Napa County CurrentSince Dec 18, 2020 Accepting new patients
County of Napa CurrentSince Dec 18, 2020 Accepting new patients

Locations

2751 Napa Valley Corporate Dr
Bldg A
Napa, CA 94558
Phone (707) 253-4279

2751 Napa Valley Corporate Dr
Napa, CA 94558
Phone (707) 227-3900

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1184770240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5423",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "94581",
            "telephone_number": "707-815-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BROADWAY",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954767002",
            "telephone_number": "707-815-3622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 Broadway",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Sonoma",
            "state": "CA",
            "postal_code": "954767571",
            "country_code": "US",
            "telephone_number": "707-815-3622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHLER",
        "first_name": "CATHERINE",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 24349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4605",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonoma, CA

Sources for this page

Verify at the official NPI Registry.