Katharine Diane Van Winkle

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

Y9354473 Issued in CA

Practice address

1374 N Humboldt Ave
Kerman, CA 93630-9485

Phone

(209) 628-9425

NPI assigned

Oct 15, 2024

Last updated

Oct 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1871313809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1374 N HUMBOLDT AVE",
            "city": "KERMAN",
            "state": "CA",
            "postal_code": "936309485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1374 N HUMBOLDT AVE",
            "city": "KERMAN",
            "state": "CA",
            "postal_code": "936309485",
            "telephone_number": "209-628-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN WINKLE",
        "first_name": "KATHARINE",
        "middle_name": "DIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "Y9354473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Health Team Inc (Kerman Unified School District Community Health Center)
• Valley Health Team, Inc (Kerman Health Center)
• Valley Health Team, Inc. (Kerman Unified School District Behavioral Health Center)
• Valley Health Team, Inc. (Valley Optometric Center)
• Valley View Imaging LLC (Valley View Imaging)
• Lina See Vang
• Emily Vargas
• Elisa Chavez Vasquez
• Thomas Hoang Vu, D.M.D.
• Wal-Mart Stores, Inc. (Wal-Mart Vision Center 30-5701)

• Behavior Analyst in Kerman, CA
• Providers in Kerman, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.