KATELIN DOUBLE M.A.
NPI 1124479860
Psychologist in Los Angeles, CA

Active since June 23, 2016PECOS EnrolledAccepts Medicare Assignment
311 WINSTON ST, LOS ANGELES, CA 90013(213) 893-1960(213) 229-9061 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2019, Jun 23, 2016 (2 updates tracked since 2016).

About Katelin Double M.a. NPPES

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

KATELIN DOUBLE M.A. (NPI 1124479860) is an individual psychologist in Los Angeles, California, licensed in North Carolina (103311) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1124479860
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKATELIN DOUBLECredential: M.A.
Location Address311 WINSTON STLos Angeles, CA 90013-1519
Mailing Address158 Zillicoa StAsheville, NC 28801-1079 · (828) 254-9494 · Fax (828) 250-0890
Fax(213) 229-9061
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 23, 2016
Last NPPES UpdateJuly 2, 20192 updates tracked since enumeration
NPI 1124479860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NC · 103311
Definition
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 94022057 (CA)
311 WINSTON ST, Los Angeles, CA 90013

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Katelin Double M.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395072797
PECOS Enrollment IDI20190807003637
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.

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.

Registered Nurse
311 WINSTON ST, LOS ANGELES MISSON COMMUNITY CLINIC
LOS ANGELES, CA 90013
Physician Assistant
311 WINSTON ST
LOS ANGELES, CA 90013
Physician Assistant
311 WINSTON ST
LOS ANGELES, CA 90013
Registered Nurse
311 WINSTON ST
LOS ANGELES, CA 90013
Physician Assistant (Medical)
311 WINSTON ST
LOS ANGELES, CA 90013
Clinic/Center (Federally Qualified Health Center (FQHC))
311 WINSTON ST
LOS ANGELES, CA 90013
Physician Assistant
311 WINSTON ST
LOS ANGELES, CA 90013
Dentist
311 WINSTON ST
LOS ANGELES, CA 90013

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 Katelin Double's NPI number?

The NPI number for Katelin Double is 1124479860. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Where is Katelin Double located?

Katelin Double practices at 311 Winston St, Los Angeles, CA 90013. The listed phone number is (213) 893-1960.

What is Katelin Double's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Katelin Double enrolled in Medicare?

Yes. Katelin Double is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Katelin Double accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Katelin Double as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katelin Double was last updated on July 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.