Katherine Kilgore, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY14094 Issued in CA

Practice address

13405 Folsom Blvd
Suite 220
Folsom, CA 95630-4738

Phone

(916) 458-5505

Fax

(916) 357-5964

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Katherine M Kilgore PHD Inc

  • Clinical Psychologist
  • Folsom, CA
  • NPI 1770765794
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1932210481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13405 FOLSOM BLVD",
            "address_2": "SUITE 220",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304738",
            "telephone_number": "916-458-5505",
            "fax_number": "916-357-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13405 FOLSOM BLVD",
            "address_2": "SUITE 220",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304738",
            "telephone_number": "916-458-5505",
            "fax_number": "916-357-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "KATHERINE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY14094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CA434250",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CORPORATION NPI",
            "identifier": "1770765794",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sami M Khouri, MD
• Navneet Kaur Khroud
• Annie-Charity Wanjiku Kihonge
• Esther Kiiru, REGISTERED NURSE
• James Anthony Kiley Jr., M.D.
• Loran Killar, PA-C
• Richard Mark Kilmer, DDS MS
• Madison Kim, PHARMD
• Mercy Kimuhu
• Sharon Mae Kindel, PHARMACIST

• Clinical Psychologist in Folsom, CA
• Providers in Folsom, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.