DR. KAITLIN MARIE VENEMA PHD
NPI 1043651722
Psychologist - Clinical in Petaluma, CA

Q: What is Kaitlin Venema's NPI number?

The NPI number for Kaitlin Venema is 1043651722. It was assigned to this individual provider in the NPPES registry on July 10, 2013.

Q: What is Kaitlin Venema's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlin Venema was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 10, 2013PECOS Enrolled

1900 S MCDOWELL BLVD, PETALUMA, CA 94954(707) 765-3900 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2022, Dec 12, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Kaitlin Marie Venema Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KAITLIN MARIE VENEMA PHD (NPI 1043651722) is an individual clinical provider in Petaluma, California, licensed in California (PSY31252) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043651722

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KAITLIN MARIE VENEMACredential: PHD

Location Address1900 S MCDOWELL BLVDPetaluma, CA 94954-5473

Mailing Address1900 S Mcdowell BlvdPetaluma, CA 94954-5473 · (707) 765-3900

Phone(707) 765-3900

Sole ProprietorNo

Enumeration DateJuly 10, 2013

Last NPPES UpdateJanuary 3, 20224 updates tracked since enumeration

NPPES CertifiedDecember 12, 2019

✔ NPI 1043651722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY31252

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedRehabilitation CounselorTaxonomy 225C00000X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1900 S MCDOWELL BLVD, Petaluma, CA 94954

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11270 Natividad RdSalinas, CA 93906-3144 · Phone (831) 796-1500

Location 24650 W Sunset Blvd # 53Los Angeles, CA 90027-6062 · Phone (323) 361-3814

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kaitlin Marie Venema Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94954 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.01 typical visit price

range $63.04 – $187.01

Typical copayment $46.75 (range $15.76 – $46.75)

Most-billed visit code 99205

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIO MANGIARDI MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)