Active NPI
Katrina L Cady, PSY.D.
- Clinical Psychologist
- Elk Grove, CA
National Provider Identifier
1770704223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 22015
- Practice address
- 9201 Big Horn Blvd
Psychiatry
Elk Grove, CA 95758-1240 - Phone
- (916) 478-5836
- NPI assigned
- May 1, 2007
- 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 | 22015 | CA | Primary |
Addresses
Primary practice location
9201 Big Horn Blvd
Psychiatry
Elk Grove, CA 95758-1240
Mailing address
1521 Corporate Way
Suite 120
Sacramento, CA 95831-3891
Phone (916) 422-2036
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 |
|---|---|---|---|
| 22015 | CA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417305600000",
"number": "1770704223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 CORPORATE WAY",
"address_2": "SUITE 120",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958313891",
"telephone_number": "916-422-2036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9201 BIG HORN BLVD",
"address_2": "PSYCHIATRY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957581240",
"telephone_number": "916-478-5836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CADY",
"first_name": "KATRINA",
"middle_name": "L",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2014-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "22015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.