Individual provider Active NPI

Katherine Sutton, PH.D.

  • Psychologist
  • Palo Alto, CA
National Provider Identifier
1487137113
Registry record updated Sep 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY26739 Issued in CA
Practice address
825 San Antonio Rd Ste 104
Palo Alto, CA 94303-4620
Phone
(650) 272-0388
NPI assigned
Sep 9, 2018
Last updated
Sep 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY26739 CA Primary

Addresses

Primary practice location

825 San Antonio Rd Ste 104
Palo Alto, CA 94303-4620

Mailing address

4407 Adragna CT
San Jose, CA 95136-2301
Phone (408) 444-5283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY26739CAMDPsychologist
26739CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Therapy Institute, Marriage and Family Therapy Corporation PastSince Sep 25, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1536451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536451200000",
    "number": "1487137113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 ADRAGNA CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951362301",
            "telephone_number": "408-444-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SAN ANTONIO RD STE 104",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943034620",
            "telephone_number": "650-272-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "KATHERINE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-09",
        "last_updated": "2018-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY26739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.