Active NPI
Katharine Pratt Dahl, M.S.
- Clinical Child & Adolescent Psychologist
- Stanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PSY26641
- Practice address
- 401 Quarry Rd.
Stanford, CA 94305-5719 - Phone
- (650) 723-5511
- NPI assigned
- May 21, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY26641 | CA | Primary |
Addresses
Primary practice location
401 Quarry Rd.
Stanford, CA 94305-5719
Mailing address
401 Quarry Rd.
Stanford, CA 94305-5719
Phone (650) 723-5511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 498-7200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY26641 | CA | MD | Clinical Child & Adolescent Psychologist |
| 26641 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanford Health Care | Current | Accepting new patients | |
| LPCH Medical Group Div of Lucile | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients |
Locations
911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640
401 Quarry Rd
Palo Alto, CA 94304
Phone (650) 498-9111
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
1195 W Fremont Ave
Sunnyvale, CA 94087
Phone (408) 426-5590
Organizations & group practices 4
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.
-
- Children's Hospital
- Palo Alto, CA
- NPI 1417907940
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
- General Acute Care Hospital
- Emeryville, CA
- NPI 1275076325
-
- Specialty Pharmacy
- Mountain View, CA
- NPI 1760366132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411516800000",
"number": "1578823977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 QUARRY RD.",
"city": "STANFORD",
"state": "CA",
"postal_code": "943055719",
"telephone_number": "650-723-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 QUARRY RD.",
"city": "STANFORD",
"state": "CA",
"postal_code": "943055719",
"telephone_number": "650-723-5511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHL",
"first_name": "KATHARINE",
"middle_name": "PRATT",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-21",
"last_updated": "2014-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY26641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.