KATRINA DAVINO
NPI 1154674349
Psychologist - Clinical in Atlanta, GA

Active since October 25, 2012Opted out of Medicare · through Feb 20, 2028
1766 CENTURY BLVD NE STE B, ATLANTA, GA 30345(404) 668-9893 Get Directions Write a Review

NPPES record last updated: January 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katrina Davino NPPES

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

KATRINA DAVINO (NPI 1154674349) is an individual clinical provider in Atlanta, Georgia, licensed in Georgia (2650) and active in the NPI registry since October 2012. She has opted out of Medicare through February 20, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1154674349
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKATRINA DAVINO
Location Address1766 CENTURY BLVD NE STE BAtlanta, GA 30345-3394
Mailing Address1766 Century Blvd Ne Ste BAtlanta, GA 30345-3394 · (404) 668-9893
Sole ProprietorNo
Enumeration DateOctober 25, 2012
Last NPPES UpdateJanuary 15, 2017
NPI 1154674349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in GA · 2650
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.
1766 CENTURY BLVD NE STE B, Atlanta, GA 30345

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 Davino 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 February 20, 2016 through February 20, 2028.

Opt-Out Effective DateFebruary 20, 2016
Opt-Out In Effect ThroughFebruary 20, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30345 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 4

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

Social Worker (Clinical)
1766 CENTURY BLVD NE STE B
ATLANTA, GA 30345
Psychologist
1766 CENTURY BLVD NE STE B
ATLANTA, GA 30345
Student in an Organized Health Care Education/Training Program
1766 CENTURY BLVD NE STE B
ATLANTA, GA 30345
Psychologist (Clinical)
1766 CENTURY BLVD NE STE B
ATLANTA, GA 30345

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 Davino's NPI number?

The NPI number for Katrina Davino is 1154674349. It was assigned to this individual provider in the NPPES registry on October 25, 2012.

Where is Katrina Davino located?

Katrina Davino practices at 1766 Century Blvd NE Ste B, Atlanta, GA 30345. The listed phone number is (404) 668-9893.

What is Katrina Davino's specialty?

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

Is Katrina Davino enrolled in Medicare?

No. Katrina Davino has opted out of Medicare through February 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Katrina Davino was last updated on January 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.