KATELIN DOUBLE (NPI# 1124479860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124479860 |
| Entity Type | Individual |
| Full Name | KATELIN DOUBLE |
| Credential | M.A. |
| Practice Address |
311 Winston St Los Angeles CA 90013-1519 |
| Mailing Address |
158 Zillicoa St Asheville NC 28801-1079 |
| Practice Telephone | 2138931960 |
| Practice Fax Number | 2132299061 |
| Mailing Telephone | 8282549494 |
| Mailing Fax Number | 8282500890 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
94022057 | CA | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 103311 | NC | Behavioral Health & Social Service Providers |
| Street Address |
311 WINSTON ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90013-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942398367 | Los Angeles Christian Health Centers | Clinic/Center | 311 Winston St, Los Angeles, CA 90013-1519 | 2006-10-11 |
| 1558900084 | Byron Rivera | Psychologist | 311 Winston St, Los Angeles, CA 90013-1519 | 2020-01-01 |
| 1447891536 | Irene Jean Kim | Physician Assistant | 311 Winston St, Los Angeles, CA 90013-1519 | 2019-10-01 |
| 1881244846 | Ciara Joyce Lo | Nurse Practitioner | 311 Winston St, Los Angeles, CA 90013-1519 | 2019-09-12 |
| 1386205235 | Jason Do Diep | Dentist | 311 Winston St, Los Angeles, CA 90013-1519 | 2019-06-21 |
| 1962068304 | Sara Lynn Sidor | Nurse Practitioner | 311 Winston St, Los Angeles, CA 90013-1519 | 2019-05-10 |
| 1619440120 | Sharlene Gan | Nurse Practitioner | 311 Winston St, Los Angeles, CA 90013-1519 | 2019-01-08 |
| 1801382007 | Andrew Iraheta | Counselor | 311 Winston St, Los Angeles, CA 90013-1519 | 2018-07-10 |
| 1962900498 | Kari Marie Fish | Nurse Practitioner | 311 Winston St, Los Angeles, CA 90013-1519 | 2018-01-30 |
| 1043743537 | Ethan Amdahl | Student in an Organized Health Care Education/Training Program | 311 Winston St, Los Angeles, CA 90013-1519 | 2017-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013470327 | Mia Rashap | Technician, Other | 555 W 5th St, Los Angeles, CA 90013 | 2019-04-12 |
| 1992263941 | Shiane Lyana Ferretti | Technician, Other | 555 West 5th Street, Los Angeles, CA 90013 | 2019-03-08 |
| 1629567060 | Dtla Med | Clinic/Center | 431 S Hewitt St Ste B, Los Angeles, CA 90013 | 2018-05-01 |
| 1386150886 | Abel Joseph Apodaca Jr. | Counselor | 512 East 4th Street, Los Angeles, CA 90013 | 2017-12-19 |
| 1578075560 | Anthony Perez | Case Manager/Care Coordinator | 522 S San Pedro, Los Angeles, CA 90013 | 2017-10-30 |
| 1740724574 | Royalty Group Services Inc | Clinic/Center | 555 West Fifth Street 31st Floor, Los Angeles, CA 90013 | 2016-12-13 |
| 1275930877 | Araceli Zuniga | Rehabilitation Practitioner | 640 South Maple Avenue, Los Angeles, CA 90013 | 2014-11-25 |
| 1558785956 | Carlos Mejia | Counselor | 470 E. 3rd St., Los Angeles, CA 90013 | 2014-02-06 |
| 1679908081 | Troy Gabrielson | Counselor | 470 E. 3rd Street, Suite C, Los Angeles, CA 90013 | 2013-09-05 |
| 1417298753 | Pierre Houbein | Physician Assistant | 311 Winston St., Los Angeles, CA 90013 | 2013-03-12 |
| Find all providers in zip 90013 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720698400 | Richard Romanoff | Psychologist | 10780 Santa Monica Blvd Ste 460, Los Angeles, CA 90025-7635 | 2020-08-06 |
| 1003425869 | Reynaldo Vargas Jr. | Psychologist | 8811 Mary Ave, Los Angeles, CA 90002-1244 | 2020-07-28 |
| 1700404647 | Joshua Lawrence Mirmelli | Psychologist | 11340 W Olympic Blvd Ste 305, Los Angeles, CA 90064-1630 | 2020-07-08 |
| 1740820240 | Aaron Efron Berger | Psychologist | 11980 San Vicente Blvd Ste 710, Los Angeles, CA 90049-6605 | 2020-01-13 |
| 1538715743 | Nicole Hayes | Psychologist | Ucla John Wooden West #9511556, Los Angeles, CA 90095-0001 | 2019-08-13 |
| 1992360853 | Barry Bernfeld | Psychologist | 10530 Santa Monica Blvd, Los Angeles, CA 90025-4951 | 2019-05-07 |
| 1700362449 | Noah Laracy | Psychologist | 1810 S Beverly Drive, Suite 401, Los Angeles, CA 90035-1156 | 2018-07-16 |
| 1386139087 | Acacia Psychological Corporation | Psychologist | 1019 Gayley Ave Fl 2, Los Angeles, CA 90024-3437 | 2018-06-25 |
| 1164911418 | William James Coburn | Psychologist | 12011 San Vicente Blvd Ste 300, Los Angeles, CA 90049-4945 | 2018-05-02 |
| 1932603081 | Adam Wiswell | Psychologist | 3982 S. Figueroa Street, Suite 203, Los Angeles, CA 90037 | 2018-03-22 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90013 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.