Individual provider Active NPI

Kathleen Devine Bree, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Scottsdale, AZ
National Provider Identifier
1790183200
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
4569 Issued in AZ
Practice address
8151 E Evans Rd Ste 10
Scottsdale, AZ 85260-3648
Phone
(480) 960-1110
Fax
(480) 781-4891
NPI assigned
Dec 15, 2014
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X 4569 AZ Primary
Psychologist 103T00000X 4569 AZ

Addresses

Primary practice location

8151 E Evans Rd Ste 10
Scottsdale, AZ 85260-3648

Mailing address

PO Box 13771
Scottsdale, AZ 85267-3771
Phone (480) 960-1110

Other names 1

  • Dr. Kate Bree Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2024 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1790183200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13771",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852673771",
            "telephone_number": "480-960-1110",
            "fax_number": "480-781-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8151 E EVANS RD STE 10",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603648",
            "telephone_number": "480-960-1110",
            "fax_number": "480-781-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREE",
        "first_name": "KATHLEEN",
        "middle_name": "DEVINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-15",
        "last_updated": "2024-04-03",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "AZ",
            "license": "4569",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "4569",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "BREE",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.