Active NPI
Katie Fracalanza, PH.D.
- Clinical Psychologist
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY28652
- Practice address
- 300 Pasteur Dr
Palo Alto, CA 94304-2203 - Phone
- (650) 723-4000
- NPI assigned
- Sep 11, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 103TC0700X | PSY28652 | CA | Primary |
Addresses
Primary practice location
300 Pasteur Dr
Palo Alto, CA 94304-2203
Mailing address
300 Pasteur Dr
Palo Alto, CA 94304-2203
Phone (650) 723-4000
Other practice location 1
1116 Carlos Privada
Mountain View, CA 94040-3537
Phone (408) 769-0589
Other practice location 2
401 Quarry Rd
Palo Alto, CA 94304-1419
Phone (408) 769-0589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.53 of 100
- Quality
- 87.08
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY28652 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Psychology Center | Psychologist | Current | Accepting new patients |
| Stanford Health Care | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients |
Locations
700 El Camino Real
Ste 120
Menlo Park, CA 94025
Phone (650) 204-1246
401 Quarry Rd
Palo Alto, CA 94304
Phone (650) 498-9111
300 Pasteur Dr
Palo Alto, CA 94304
Phone (650) 723-6469
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
Organizations & group practices 3
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.
-
dba Stanford Medical Center A Trade Name for Stanford Health Care
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
- Psychologist
- Mountain View, CA
- NPI 1508509829
-
dba Stanford Health Care Specialty Pharmacy
- Specialty Pharmacy
- Mountain View, CA
- NPI 1760366132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714262400000",
"number": "1366990095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943042203",
"telephone_number": "650-723-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943042203",
"telephone_number": "650-723-4000"
}
],
"practiceLocations": [
{
"address_1": "1116 Carlos Privada",
"address_purpose": "LOCATION",
"city": "Mountain View",
"state": "CA",
"postal_code": "940403537",
"country_code": "US",
"telephone_number": "408-769-0589",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 Quarry Rd",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943041419",
"country_code": "US",
"telephone_number": "408-769-0589",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRACALANZA",
"first_name": "KATIE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-11",
"last_updated": "2024-04-28",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY28652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.