Individual provider Active NPI

Catherine Decarlo Santiago, PHD

  • Clinical Child & Adolescent Psychologist
  • Temecula, CA
National Provider Identifier
1699922690
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PSY24770 Issued in CA
Practice address
27715 Jefferson Ave Ste 112
Temecula, CA 92590-6601
Phone
(442) 222-1506
NPI assigned
Aug 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PSY24770 CA Primary
Clinical Child & Adolescent Psychologist 103TC2200X 71.008353 IL

Addresses

Primary practice location

27715 Jefferson Ave Ste 112
Temecula, CA 92590-6601

Mailing address

39520 Murrieta Hot Springs Rd Ste 219-10
Murrieta, CA 92563-7713
Phone (422) 222-1506

Other practice location 1

39520 Murrieta Hot Springs Rd Ste 219-10
Murrieta, CA 92563
Phone (422) 222-1506

Other names 1

  • Catherine Decarlo Former name

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY24770CAMDClinical Child & Adolescent Psychologist
71.008353ILMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1699922690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39520 MURRIETA HOT SPRINGS RD STE 219-10",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925637713",
            "telephone_number": "422-222-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27715 JEFFERSON AVE STE 112",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925906601",
            "telephone_number": "442-222-1506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39520 Murrieta Hot Springs Rd Ste 219-10",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "92563",
            "country_code": "US",
            "telephone_number": "422-222-1506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "CATHERINE",
        "middle_name": "DECARLO",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY24770",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "71.008353",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "DECARLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.