NPIMap

Organization Active NPI

Dr Katheryn Conde Neuropsychology, Inc

  • Clinical Neuropsychologist
  • Vacaville, CA
National Provider Identifier
1770170334
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
DR KATHERYN CONDE NEUROPSYCHOLOGY, INC
Practice address
673 Merchant St Ste a
Vacaville, CA 95688-6952
Phone
(707) 415-7473
NPI assigned
Dec 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Dr. Katheryn Conde, PSYD
Title
Owner
Phone
(707) 415-7473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

673 Merchant St Ste a
Vacaville, CA 95688-6952

Mailing address

673 Merchant St Ste a
Vacaville, CA 95688-6952
Phone (707) 415-7473

Other names 1

  • Northern California Neurohealth Doing business as

National Provider Directory

National Provider Directory

Locations

400 Boyd St
Ste B
Vacaville, CA 95688
Phone (707) 415-7473

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1770170334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 MERCHANT ST STE A",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956886952",
            "telephone_number": "707-415-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 MERCHANT ST STE A",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956886952",
            "telephone_number": "707-415-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KATHERYN CONDE NEUROPSYCHOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "CONDE",
        "authorized_official_first_name": "KATHERYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-415-7473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern California Neurohealth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northern California Neurohealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.