Organization Active NPI

Kathleen J. Dong, M.D.

  • Psychoanalyst
  • Palo Alto, CA
National Provider Identifier
1891141370
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
G059622 Issued in CA
Legal business name
KATHLEEN J. DONG, M.D.
Practice address
350 Cambridge Ave
Suite 200
Palo Alto, CA 94306-1550
Phone
(650) 600-8863
NPI assigned
May 13, 2016
Last updated
May 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Authorized official

Name
Kathleen Domg, M.D.
Title
Psychiatrist
Phone
(650) 600-8862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X G059622 CA Primary

Addresses

Primary practice location

350 Cambridge Ave
Suite 200
Palo Alto, CA 94306-1550

Mailing address

350 Cambridge Avenue
Suite 200
Palo Alto, CA 94306
Phone (650) 600-8863

National Provider Directory

National Provider Directory

Locations

350 Cambridge Ave
Ste 200
Palo Alto, CA 94306
Phone (650) 332-4975

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1891141370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 CAMBRIDGE AVENUE",
            "address_2": "SUITE 200",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94306",
            "telephone_number": "650-600-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CAMBRIDGE AVE",
            "address_2": "SUITE 200",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061550",
            "telephone_number": "650-600-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN J. DONG, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "DOMG",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "650-600-8862",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "CA",
            "license": "G059622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.