KATRINA P MAUTNER
NPI 1083196075
Student in an Organized Health Care Education/Training Program in Berkeley, CA

Active since September 05, 2018Opted out of Medicare · through Sep 18, 2026
2712 TELEGRAPH AVE, BERKELEY, CA 94705(510) 548-8283 Get Directions Write a Review

NPPES record last updated: September 5, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Katrina P Mautner NPPES

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

KATRINA P MAUTNER (NPI 1083196075) is an individual student in an organized health care education/training program in Berkeley, California and active in the NPI registry since September 2018. She has opted out of Medicare through September 18, 2026.

NPPES Registry Identity

NPI1083196075
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATRINA P MAUTNER
Location Address2712 TELEGRAPH AVEBerkeley, CA 94705-1117
Mailing Address2712 Telegraph AveBerkeley, CA 94705-1117
Sole ProprietorNo
Enumeration DateSeptember 5, 2018
NPI 1083196075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2712 TELEGRAPH AVE, Berkeley, CA 94705

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Katrina P Mautner has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 18, 2024 through September 18, 2026.

Opt-Out Effective DateSeptember 18, 2024
Opt-Out In Effect ThroughSeptember 18, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Counselor (Mental Health)
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katrina Mautner's NPI number?

The NPI number for Katrina Mautner is 1083196075. It was assigned to this individual provider in the NPPES registry on September 5, 2018.

Where is Katrina Mautner located?

Katrina Mautner practices at 2712 Telegraph Ave, Berkeley, CA 94705. The listed phone number is (510) 548-8283.

What is Katrina Mautner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Katrina Mautner enrolled in Medicare?

No. Katrina Mautner has opted out of Medicare through September 18, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Katrina Mautner was last updated on September 5, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.