Kathrine Lyn Patterson, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3813-57 Issued in WI

Practice address

2500 N Mayfair Rd Ste 600
Wauwatosa, WI 53226-1428

Phone

(414) 727-4455

NPI assigned

Nov 10, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Erc Wisconsin, LLC

  • Adult Mental Health Clinic/Center
  • Wauwatosa, WI
  • NPI 1730853870
  NPD
• The Redi Clinic of Wauwatosa, SC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wauwatosa, WI
  • NPI 1043228505
  NPD (past)

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1508239773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N MAYFAIR RD STE 600",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261428",
            "telephone_number": "414-727-4455",
            "fax_number": "414-727-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N MAYFAIR RD STE 600",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261428",
            "telephone_number": "414-727-4455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 N. Mayfair Rd.",
            "address_2": "Suite 425",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "532261505",
            "country_code": "US",
            "telephone_number": "414-727-4455",
            "fax_number": "414-727-4690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "KATHRINE",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6402-125",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "3813-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kbehrens@therediclinic.com",
            "affiliation": "N",
            "address_1": "2500 N Mayfair Rd Ste 600",
            "city": "Wauwatosa",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532261428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ankur N Patel, MD
• Parth Patel
• Prachi Vikas Patel, PHARMD
• Prapti Rajesh Patel
• Pathway Eclinic SC
• Mary Patterson
• Lawrence Thomas Patti, DDS
• Megan Elizabeth Patti
• Rakesh Patyal
• Andrea Brandner Patz, MAAT, ATR

• All providers in Wauwatosa, WI
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.