Individual provider Active NPI

David L Kattenhorn, PSYD

  • Clinical Psychologist
  • Arcadia, CA
National Provider Identifier
1679623706
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY8645 Issued in CA
Practice address
50 E Foothill Blvd
#204
Arcadia, CA 91006
Phone
(626) 446-8544
Fax
(626) 446-1877
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY8645 CA Primary

Addresses

Primary practice location

50 E Foothill Blvd
#204
Arcadia, CA 91006

Mailing address

50 E Foothill Blvd
#204
Arcadia, CA 91006
Phone (626) 446-8544

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101109001269 CA Practitioner - Clinical Psychologist 6608061254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

50 E Foothill Blvd
Suite 204
Arcadia, CA 91006-2314
Phone (626) 446-8544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY8645CAMDClinical Psychologist
8645CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
David L Kattenhorn Clinical Psychologist Inc. Clinical CurrentSince Sep 15, 2010 Accepting new patients

Locations

50 E Foothill Blvd
Ste 204
Arcadia, CA 91006
Phone (626) 424-2018

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679623706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E FOOTHILL BLVD",
            "address_2": "#204",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "91006",
            "telephone_number": "626-446-8544",
            "fax_number": "626-446-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E FOOTHILL BLVD",
            "address_2": "#204",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "91006",
            "telephone_number": "626-446-8544",
            "fax_number": "626-446-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTENHORN",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY8645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.