Individual provider Active NPI

Shaina Jill Katz-Lindquist, PHD

  • Clinical Psychologist
  • Los Altos, CA
National Provider Identifier
1700106085
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY27802 Issued in CA
Practice address
1000 Fremont Ave Ste 145
Los Altos, CA 94024-6057
Phone
(650) 680-3896
NPI assigned
Jun 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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 PSY27802 CA Primary

Addresses

Primary practice location

1000 Fremont Ave Ste 145
Los Altos, CA 94024-6057

Mailing address

1000 Fremont Ave Ste 145
Los Altos, CA 94024-6057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 24, 2018 through Oct 24, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY27802CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Monica Psychology Group, Inc Current Accepting new patients

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": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1700106085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FREMONT AVE STE 145",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FREMONT AVE STE 145",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246057",
            "telephone_number": "650-680-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ-LINDQUIST",
        "first_name": "SHAINA",
        "middle_name": "JILL",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

Verify at the official NPI Registry.