Individual provider Active NPI

Catherine Aisner, PH.D.

  • Psychologist
  • South Lake Tahoe, CA
National Provider Identifier
1457408072
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY10543 Issued in CA
Practice address
2311 Lake Tahoe Blvd Ste 3
South Lake Tahoe, CA 96150-7104
Phone
(530) 541-6696
Fax
(530) 541-1868
NPI assigned
Jan 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY10543 CA Primary

Addresses

Primary practice location

2311 Lake Tahoe Blvd Ste 3
South Lake Tahoe, CA 96150-7104

Mailing address

2311 Lake Tahoe Blvd Ste 3
South Lake Tahoe, CA 96150-7104
Phone (530) 541-6696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY10543CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457408072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 LAKE TAHOE BLVD STE 3",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507104",
            "telephone_number": "530-541-6696",
            "fax_number": "530-541-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 LAKE TAHOE BLVD STE 3",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507104",
            "telephone_number": "530-541-6696",
            "fax_number": "530-541-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AISNER",
        "first_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY10543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.