Kathleen Anne Highly, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY16402 Issued in CA

Practice address

Clinicas del Camino Real, Incorporated
200 S. Wells Rd., Suite 200
Ventura, CA 93004

Phone

(805) 659-1740

Fax

(805) 659-9959

NPI assigned

Sep 15, 2010

Last updated

Jul 10, 2014By the provider in NPPES

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

Other names 1

• Kahtleen Anne Highly Former name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinicas del Camino Real IncGroup PAC ID 3173434396, 99 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathleen.highly.p1@direct.clinicas.nextgenshare.com

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.

• Clinicas del Camino Real Inc

  dba Clinicas del Camino Real, Inc., Ventura

  • Federally Qualified Health Center (FQHC)
  • Ventura, CA
  • NPI 1679631907
  Medicare reassignment Care Compare group NPD
• Clinicas del Camino Real Inc

  dba Clinicas del Camino Real Inc Roberto S Juarez

  • Community Health Clinic/Center
  • Oxnard, CA
  • NPI 1235866138
  NPD
• Clinicas del Camino Real Inc

  dba Clinicas del Camino Real Inc Newbury Park

  • Federally Qualified Health Center (FQHC)
  • Newbury Park, CA
  • NPI 1982820221
  NPD

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1659689446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 S. HILL STREET RD # 107",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93003",
            "telephone_number": "831-325-7008",
            "fax_number": "805-659-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLINICAS DEL CAMINO REAL, INCORPORATED",
            "address_2": "200 S. WELLS RD., SUITE 200",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93004",
            "telephone_number": "805-659-1740",
            "fax_number": "805-659-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHLY",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY16402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAHTLEEN",
            "last_name": "HIGHLY",
            "middle_name": "ANNE",
            "credential": "PH.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dale A. Hewlett, LICENSED PSYCH TECH
• Jasmine Kaur Heyer
• Cynthia Marie Hickey
• Miranda Paige Hicks
• Ken Calvin Hidaka, M.D.
• Niurka Higuera
• Janelle Hill, RN
• John V Hill, M.D.
• Kaylinn Hill, OTR/L
• Laura Victoria Hill

• Psychologist in Ventura, CA
• Providers in Ventura, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.