DR. KATHERINE L. WILSON PSY. D
NPI 1134440613
Psychologist - Clinical in Antelope, CA

Q: What is Katherine Wilson's NPI number?

The NPI number for Katherine Wilson is 1134440613. It was assigned to this individual provider in the NPPES registry on June 18, 2010.

Q: What is Katherine Wilson'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 Katherine Wilson was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 18, 2010PECOS Enrolled

5130 VISTA SIERRA DR, ANTELOPE, CA 95843(916) 715-9069 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2022, Feb 23, 2020 (2 updates tracked since 2020).

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About Dr. Katherine L. Wilson Psy. D NPPES

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

DR. KATHERINE L. WILSON PSY. D (NPI 1134440613) is an individual clinical provider in Antelope, California, licensed in California (PSY30173) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Citrus Heights.

NPPES Registry Identity

NPI1134440613

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KATHERINE L. WILSONCredential: PSY. D

Location Address5130 VISTA SIERRA DRAntelope, CA 95843-4610

Mailing AddressPo Box 8803Citrus Heights, CA 95621-8803 · (916) 715-9069

Phone(916) 715-9069

Sole ProprietorYes

Enumeration DateJune 18, 2010

Last NPPES UpdateAugust 19, 20222 updates tracked since enumeration

NPPES CertifiedAugust 2, 2022

✔ NPI 1134440613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY30173

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 ListedMarriage & Family TherapistTaxonomy 106H00000X

5130 VISTA SIERRA DR, Antelope, CA 95843

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Secondary Practice Location 1

Location 15750 Sunrise Blvd Ste 130-FCitrus Heights, CA 95610-7634 · Phone (916) 715-9069

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. Katherine L. Wilson Psy. D 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 95843 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

$180.85 typical visit price

range $60.44 – $180.85

Typical copayment $45.21 (range $15.11 – $45.21)

Most-billed visit code 99205

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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.

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 Katherine Wilson's NPI number?

The NPI number for Katherine Wilson is 1134440613. It was assigned to this individual provider in the NPPES registry on June 18, 2010.

Where is Katherine Wilson located?

Katherine Wilson practices at 5130 Vista Sierra Dr, Antelope, CA 95843. The listed phone number is (916) 715-9069.

What is Katherine Wilson's specialty?

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

Is Katherine Wilson enrolled in Medicare?

Yes. Katherine Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katherine Wilson was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.