Katherine Jean Robertson, PH.D.
Individual provider Active NPI Psychologist · Jamestown, CA
NPI 1891754255 · NPPES record last updated Feb 14, 2013
Key facts
- NPI
- 1891754255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PY00002362 (WA)
- Practice address
- 5100 Obyrnes Ferry Rd
Jamestown, CA 95327-9102 - Phone
- (209) 984-5291
- NPI assigned
- Mar 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00002362 | WA | MD | Psychologist |
| PSY21877 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Conservation Center | Past | Accepting new patients | |
| Corrections and Rehabilitation-Headquarters | Past |
Accepting new patients | |
| Department of Social | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY00002362 | WA | Yes |
| Clinical Psychologist | 103TC0700X | PSY21877 | CA |
Addresses
Primary practice location
5100 Obyrnes Ferry Rd
Jamestown, CA 95327-9102
Mailing address
5100 Obyrnes Ferry Rd
Jamestown, CA 95327-9102
Phone (209) 984-5291
Other names
- Dr. Kathryn Van Patten
Other providers in Jamestown, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.