Active NPI
Katherine Russell Devaul, M.D.
- Psychiatry Physician
- Palo Alto, CA
National Provider Identifier
1659383636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 109602
- Practice address
- 550 Hamilton Ave
Suite 202
Palo Alto, CA 94301-2010 - Phone
- (650) 279-5370
- NPI assigned
- Aug 11, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 109602 | NC | Primary |
Addresses
Primary practice location
550 Hamilton Ave
Suite 202
Palo Alto, CA 94301-2010
Mailing address
683 Mountain View Ave
Mountain View, CA 94041-1942
Phone (650) 796-1221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109602 | NC | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475107200000",
"number": "1659383636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "683 MOUNTAIN VIEW AVE",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940411942",
"telephone_number": "650-796-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 HAMILTON AVE",
"address_2": "SUITE 202",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943012010",
"telephone_number": "650-279-5370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVAUL",
"first_name": "KATHERINE",
"middle_name": "RUSSELL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2016-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "109602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.