Katelyn Christina Coddaire, LP

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Practice address

18000 Studebaker Rd Ste 700
Cerritos, CA 90703-2684

Phone

(562) 860-2210

NPI assigned

Mar 27, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Katelyn Christina Beals Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1447644398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 STUDEBAKER RD STE 700",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 STUDEBAKER RD STE 700",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032684",
            "telephone_number": "562-860-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODDAIRE",
        "first_name": "KATELYN",
        "middle_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "35688",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "BEALS",
            "middle_name": "CHRISTINA",
            "credential": "LLP, CBIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Catherine Cobb
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• Susan Lynn Coda Taus, NP
• Kevin John Sabandal Codilla, LVN
• Rowena Cole, NP MSN
• Stephanie Sue Coleman, R.N.
• Elizabeth Collazo
• Justine Collazo, LMFT

• Clinical Neuropsychologist in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.