Active NPI
Ceva Ruby Katz, PHD PSYCHOLOGIST
- Clinical Child & Adolescent Psychologist
- Mequon, WI
National Provider Identifier
1891914073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 1200-057
- Practice address
- 11501 N Port Washington Rd
Suite 218
Mequon, WI 53092-3465 - Phone
- (262) 240-9620
- NPI assigned
- Apr 25, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1200-057 | WI | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 1200-057 | WI | Primary |
Addresses
Primary practice location
11501 N Port Washington Rd
Suite 218
Mequon, WI 53092-3465
Mailing address
11501 N Port Washington Rd
Suite 218
Mequon, WI 53092-3465
Phone (262) 240-9620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Mar 23, 2018 through Mar 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1200-057 | WI | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katz-Gilbertson Psychotherapy Associates, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Mequon, WI
- NPI 1114145539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1891914073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11501 N PORT WASHINGTON RD",
"address_2": "SUITE 218",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923465",
"telephone_number": "262-240-9620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11501 N PORT WASHINGTON RD",
"address_2": "SUITE 218",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923465",
"telephone_number": "262-240-9620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZ",
"first_name": "CEVA",
"middle_name": "RUBY",
"name_prefix": "Dr.",
"credential": "PHD PSYCHOLOGIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "1200-057",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "WI",
"license": "1200-057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.