Active NPI
Katherine Diane Blenn
- Psychoanalyst
- Sacramento, CA
National Provider Identifier
1801545728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 130951
- Practice address
- 18 Temple
Sacramento, CA 95827-2024 - Phone
- (916) 425-2132
- NPI assigned
- Mar 18, 2022
- 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 |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 130951 | CA | Primary |
Addresses
Primary practice location
18 Temple
Sacramento, CA 95827-2024
Mailing address
11230 Gold Express Dr # 310-274
Gold River, CA 95670-4484
Phone (916) 425-2132
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130951 | CA | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647561600000",
"number": "1801545728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11230 GOLD EXPRESS DR # 310-274",
"city": "GOLD RIVER",
"state": "CA",
"postal_code": "956704484",
"telephone_number": "916-425-2132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 TEMPLE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272024",
"telephone_number": "916-425-2132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLENN",
"first_name": "KATHERINE",
"middle_name": "DIANE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-18",
"last_updated": "2022-03-18",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "CA",
"license": "130951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.