Active NPI
Kathryn Krotz
- Psychologist
- Tustin, CA
National Provider Identifier
1497202709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY32648
- Practice address
- 242 W Main St Ste 200K
Tustin, CA 92780-7742 - Phone
- (949) 568-3591
- NPI assigned
- Sep 2, 2016
- Last updated
- Nov 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY32648 | CA | Primary |
Addresses
Primary practice location
242 W Main St Ste 200K
Tustin, CA 92780-7742
Mailing address
970 W 190TH St
Torrance, CA 90502-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 7, 2021 through Jun 7, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY32648 | CA | MD | Psychologist |
| 32648 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathryn Krotz Psychology Inc. | Psychologist | Current | Accepting new patients |
Locations
242 W Main St
Ste 200K
Tustin, CA 92780
Phone (949) 568-3591
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": "1472774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1497202709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 W 190TH ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905021000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 W MAIN ST STE 200K",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927807742",
"telephone_number": "949-568-3591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROTZ",
"first_name": "KATHRYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-02",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY32648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.