Katherine Johnson Dennis, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

93592 Issued in CA

Practice address

11750 Dublin Blvd Ste 101
Dublin, CA 94568-2820

Phone

(925) 997-4704

NPI assigned

Feb 2, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Katherine Johnson Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 1, 2024 through Feb 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1437740271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11750 DUBLIN BLVD STE 101",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682820",
            "telephone_number": "925-997-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 DUBLIN BLVD STE 101",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682820",
            "telephone_number": "925-997-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "KATHERINE",
        "middle_name": "JOHNSON",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "93592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Clocktree",
            "affiliation": "N",
            "endpointDescription": "HIPPA Compliant Telehealth Platform",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11750 Dublin Blvd Ste 101",
            "city": "Dublin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945682820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "JOHNSON",
            "credential": "MFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Caridad Delgado
• Saverio S Deluca, D.D.S.
• Malika Demni I
• Barbara Forneret Denianke, M.D.
• Jarschire Dennis
• Raveen Deol, MD
• Cairo Derdevanis
• Setal Desai, RDN
• Tejas S Desai, DDS
• Shantanu Deshmane

• Marriage & Family Therapist in Dublin, CA
• Providers in Dublin, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.