Individual provider Active NPI

Katherine L Catuara, PSYD

  • Clinical Psychologist
  • Williams Bay, WI
National Provider Identifier
1801251533
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3330-57 Issued in WI
Practice address
N2846 State Road 67
Williams Bay, WI 53191-3771
Phone
(262) 245-5608
Fax
(262) 245-5648
NPI assigned
Dec 23, 2015
Last updated
Dec 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3330-57 WI Primary
Clinical Psychologist 103TC0700X 071-008419 IL

Addresses

Primary practice location

N2846 State Road 67
Williams Bay, WI 53191-3771

Mailing address

N2846 State Road 67
Williams Bay, WI 53191-3771
Phone (262) 245-5608

Other names 1

  • Katherine L Poholik-Catuara Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160105001450 WI Practitioner - Clinical Psychologist 8224330402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health System CorporationGroup PAC ID 7416860440, shared by 14 NPIs, 749 clinicians

Practice addresses (Care Compare)

N2846 State Rd
Suite 67
Williams Bay, WI 53191-3771
Phone (262) 245-5608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071-008419ILMDClinical Psychologist
3330-57WIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation CurrentSince Jan 4, 2016 Accepting new patients
Mercy Health System Corporation CurrentSince Jan 4, 2016 Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

903 Mineral Point Ave
Janesville, WI 53548
Phone (608) 756-5555

N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535

N2846 State Road 67
Williams Bay, WI 53191
Phone (262) 245-5608

Interoperability endpoints

  • Direct secure messaging: kpoholikcatuara40202@direct.mhemail.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1801251533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2846 STATE ROAD 67",
            "city": "WILLIAMS BAY",
            "state": "WI",
            "postal_code": "531913771",
            "telephone_number": "262-245-5608",
            "fax_number": "262-245-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N2846 STATE ROAD 67",
            "city": "WILLIAMS BAY",
            "state": "WI",
            "postal_code": "531913771",
            "telephone_number": "262-245-5608",
            "fax_number": "262-245-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATUARA",
        "first_name": "KATHERINE",
        "middle_name": "L",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "3330-57",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-008419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "POHOLIK-CATUARA",
            "middle_name": "L",
            "credential": "PSYD, CSAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Williams Bay, WI

Sources for this page

Verify at the official NPI Registry.