Katherine Marie Russeau, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY35120 Issued in CA

Practice address

31194 La Baya Dr Ste 100
Westlake Village, CA 91362-6420

Phone

(805) 242-2429

Fax

(310) 870-7197

NPI assigned

Aug 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

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.

• Pacific Coast Psychology Group, Inc.

  • Psychologist
  • Westlake Village, CA
  • NPI 1932647468

  Clinical

  NPD
• Rosewatter Chicagoland Counseling PLLC

  • Psychologist
  • Chicago, IL
  • NPI 1841940269
  NPD (past)

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1629802434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31194 LA BAYA DR STE 100",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626420",
            "telephone_number": "805-242-2429",
            "fax_number": "310-870-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31194 LA BAYA DR STE 100",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626420",
            "telephone_number": "805-242-2429",
            "fax_number": "310-870-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSEAU",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY35120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Estela Ruiz, PA-C
• Amanda Rae Ruley
• Rupal Javia DDS a Professional Dental Corporation
• Kristin Nicole Rupert, PA-C
• Russ D. Erman, M.D., a Medical Corporation
• Kathleen Ann Sheridan Russell
• Bryan Russo, M.S.
• Darren Ruth
• Ryan Rubin Chiropractic Incorporated
• Ryan Silverman Psychology

• Clinical Psychologist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.