Active NPI
Catherine Willkie, PSY
- Clinical Psychologist
- Santa Cruz, CA
National Provider Identifier
1720169279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 20380
- Practice address
- 1400 Emeline Ave
Santa Cruz, CA 95060-1976 - Phone
- (831) 454-4170
- Fax
- (831) 454-4663
- NPI assigned
- Oct 18, 2006
- 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 | PSY 20380 | CA | Primary |
Addresses
Primary practice location
1400 Emeline Ave
Santa Cruz, CA 95060-1976
Mailing address
PO Box 962
Santa Cruz, CA 95061-0962
Phone (831) 454-4170
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ92076Z | Other | CA | MEDICARE GROUP ID# |
| PSY 20380 | Other | CA | PSYCHOLOGIST # |
| ZZZ91892Z | Other | CA | MEDICARE GROUP ID# |
| ZZZ92073Z | Other | CA | MEDICARE GROUP ID# |
| ZZZ91891Z | Other | CA | MEDICARE GROUP ID# |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 20380 | CA | MD | Clinical Psychologist |
| 20380 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Cruz | Past | Accepting new patients | |
| Puentes Al Sur | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Santa Cruz, CA
- NPI 1659315430
-
- Adult Mental Health Clinic/Center
- Watsonville, CA
- NPI 1992849012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493596800000",
"number": "1720169279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 962",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950610962",
"telephone_number": "831-454-4170",
"fax_number": "831-454-4663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 EMELINE AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950601976",
"telephone_number": "831-454-4170",
"fax_number": "831-454-4663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLKIE",
"first_name": "CATHERINE",
"credential": "PSY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2017-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 20380",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP ID#",
"identifier": "ZZZ92076Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGIST #",
"identifier": "PSY 20380",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP ID#",
"identifier": "ZZZ91892Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP ID#",
"identifier": "ZZZ92073Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP ID#",
"identifier": "ZZZ91891Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.