Active NPI
Katerina Paige Prossr, PHD
- Psychologist
- Oceanside, CA
National Provider Identifier
1871011239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY30544
- Practice address
- 3355 Mission Ave Ste 111
Oceanside, CA 92058-1327 - Phone
- (760) 492-5656
- Fax
- (760) 826-4900
- NPI assigned
- Sep 6, 2017
- Last updated
- Nov 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Psychologist | 103T00000X | PSY30544 | CA | Primary |
| Clinical Psychologist | 103TC0700X | PSY30544 | CA |
Addresses
Primary practice location
3355 Mission Ave Ste 111
Oceanside, CA 92058-1327
Mailing address
3355 Mission Ave Ste 111
Oceanside, CA 92058-1327
Phone (760) 492-5656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467978817 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drfeebywooden@truenorthpsychservices.com | True North Psychological Services, Inc. |
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 |
|---|---|---|---|
| PSY30544 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True North Psychological Services, Inc. | Clinical | Past | Accepting new patients |
| Aliuddin Khaja, MD., Inc | Past | Accepting new patients |
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.
-
dba Choice Psychiatric Medical Group
- Sleep Medicine (Psychiatry & Neurology) Physician
- Corona, CA
- NPI 1770889545
-
dba Your True North Oceanside
- Addiction (Substance Use Disorder) Counselor
- Oceanside, CA
- NPI 1467978817
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1871011239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3355 MISSION AVE STE 111",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920581327",
"telephone_number": "760-492-5656",
"fax_number": "760-826-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 MISSION AVE STE 111",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920581327",
"telephone_number": "760-492-5656",
"fax_number": "760-826-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROSSR",
"first_name": "KATERINA",
"middle_name": "PAIGE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-06",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY30544",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY30544",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467978817",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drfeebywooden@truenorthpsychservices.com",
"affiliation": "Y",
"affiliationName": "True North Psychological Services, Inc.",
"address_1": "3355 Mission Ave Ste 111",
"city": "Oceanside",
"state": "CA",
"country_code": "US",
"postal_code": "920581327",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.