Active NPI
Katherine Anne Frost, PH.D.
- Clinical Psychologist
- Waukesha, WI
National Provider Identifier
1699185397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3203-57
- Practice address
- 721 American Ave
Suite 501
Waukesha, WI 53188-5071 - Phone
- (262) 928-4036
- Fax
- (262) 928-5096
- NPI assigned
- May 2, 2014
- 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 Psychologist | 103TC0700X | 3203-57 | WI | Primary |
Addresses
Primary practice location
721 American Ave
Suite 501
Waukesha, WI 53188-5071
Mailing address
721 American Ave
Suite 501
Waukesha, WI 53188-5071
Phone (262) 928-4036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3203-57 | Other | WI | WI PSYCHOLOGY LICENSE |
Other names 1
- Katherine Kern
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140917001314 | WI | Practitioner - Clinical Psychologist | 8527287911 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Marquette University School of Dentistry, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Systemic Perspectives Inc
Practice addresses (Care Compare)
2511 N 124TH St
Suite 106
Brookfield, WI 53005-4609
Phone (262) 641-4347
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3203-57 | WI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Systemic Perspectives, Inc. | Current | Accepting new patients |
Locations
2511 N 124th St
Ste 106
Brookfield, WI 53005
Phone (262) 641-4347
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": "1398988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409616000000",
"number": "1699185397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 AMERICAN AVE",
"address_2": "SUITE 501",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531885071",
"telephone_number": "262-928-4036",
"fax_number": "262-928-5096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 AMERICAN AVE",
"address_2": "SUITE 501",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531885071",
"telephone_number": "262-928-4036",
"fax_number": "262-928-5096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROST",
"first_name": "KATHERINE",
"middle_name": "ANNE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-02",
"last_updated": "2014-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "3203-57",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WI PSYCHOLOGY LICENSE",
"identifier": "3203-57",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "KERN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.