Active NPI
Joann Dahlkoetter, PH.D
- Clinical Psychologist
- San Carlos, CA
National Provider Identifier
1780484097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY11395
- Practice address
- 3341 Brittan Ave Apt 10
San Carlos, CA 94070-3435 - Phone
- (650) 654-5500
- NPI assigned
- Mar 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | PSY11395 | CA | Primary |
Addresses
Primary practice location
3341 Brittan Ave Apt 10
San Carlos, CA 94070-3435
Mailing address
3341 Brittan Ave Apt 10
San Carlos, CA 94070-3435
Phone (650) 654-5500
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY11395 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1780484097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3341 BRITTAN AVE APT 10",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940703435",
"telephone_number": "650-654-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3341 BRITTAN AVE APT 10",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940703435",
"telephone_number": "650-654-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHLKOETTER",
"first_name": "JOANN",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-17",
"last_updated": "2025-03-17",
"certification_date": "2025-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY11395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Carlos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.