NPIMap

Individual provider Active NPI

Katherine Sofia Cole, DO

  • Psychiatry Physician
  • Rohnert Park, CA
National Provider Identifier
1447469192
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2009028462 Issued in MO
Practice address
5900 Dowdell Ave
#159
Rohnert Park, CA 94928-4127
Phone
(913) 339-8887
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2009028462 MO Primary

Addresses

Primary practice location

5900 Dowdell Ave
#159
Rohnert Park, CA 94928-4127

Mailing address

5900 Dowdell Ave
#159
Rohnert Park, CA 94928
Phone (913) 339-8887

Other identifiers 2

IdentifierTypeStateIssuer
05-34557OtherKSSTATE :ICENSE
2009028462OtherMOMISSOURI LICENSE

Other names 1

  • Katherine Cole Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180208002959 CA Practitioner - Psychiatry 1850487406 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Santa Barbara County AuditorGroup PAC ID 9335052083, 98 clinicians

Practice addresses (Care Compare)

4444 Calle Real
Santa Barbara, CA 93110-1002
Phone (805) 681-5190

Hospital & facility affiliations

  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sonoma CurrentSince Jan 9, 2018 Accepting new patients
County of Sonoma Current Accepting new patients
Santa Barbara County Auditor CurrentSince Mar 23, 2024 Accepting new patients
Santa Barbara County Department of Behavioral Wellness CurrentSince Mar 23, 2024 Accepting new patients
Traditions Psychiatry Group, P.C Psychiatry CurrentSince Aug 13, 2018 Accepting new patients
County of Sonoma CurrentSince Jan 9, 2018 Accepting new patients
Santa Barbara County County Auditor Current Accepting new patients
MCV Associated Physicians Psychiatry PastSince Sep 28, 2021 Accepting new patients

Locations

429 N San Antonio Rd
Santa Barbara, CA 93110
Phone (805) 884-1600

315 Camino del Remedio
Ste 258
Santa Barbara, CA 93110
Phone (626) 989-3321

4444 Calle Real
Santa Barbara, CA 93110
Phone (805) 681-5190

1450 Neotomas Ave
Ste 200
Santa Rosa, CA 95405
Phone (707) 565-4131

1287 Fulton Rd
Santa Rosa, CA 95401
Phone (707) 543-2031

2225 Challenger Way
Santa Rosa, CA 95407
Phone (707) 565-4101

Interoperability endpoints

  • Direct secure messaging: katherine.cole@direct.mymlc.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1447469192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 DOWDELL AVE",
            "address_2": "#159",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "94928",
            "telephone_number": "913-339-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 DOWDELL AVE",
            "address_2": "#159",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949284127",
            "telephone_number": "913-339-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "KATHERINE",
        "middle_name": "SOFIA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2009028462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE :ICENSE",
            "identifier": "05-34557",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI LICENSE",
            "identifier": "2009028462",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "SMITH",
            "middle_name": "COLE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rohnert Park, CA

Sources for this page

Verify at the official NPI Registry.