Caitlin Dyer

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

148341 Issued in CA

Practice address

3075 Citrus Cir Ste 165
Walnut Creek, CA 94598-2669

Phone

(925) 553-3376

NPI assigned

Sep 17, 2024

Last updated

Sep 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Caitlin Dourov Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Silver Fern Child & Family Therapy Incorporated

  • Mental Health Counselor
  • Walnut Creek, CA
  • NPI 1477188589
  NPD

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1821825589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 PATO LN",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945614242",
            "telephone_number": "925-518-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 CITRUS CIR STE 165",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982669",
            "telephone_number": "925-553-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "CAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "17306",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "148341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "DOUROV",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danh Duong
• Melissa Duran
• Taylor Duthler
• Derek A Dwinell, PHARM. D.
• Catherine Dy
• Morgan R Dyer, RBT
• Kathleen A Dyson, LMFT
• Samir Dzankic, MD
• Vasili Dzerhachou, M.D.
• Wes E Eacret, CO

• Mental Health Counselor in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.