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DR. KATIE JO KERIDAN PSY.D.
NPI 1225349145
Clinical Neuropsychologist in Santa Rosa, CA

Active since June 24, 2010
825 COLLEGE AVE STE 4, SANTA ROSA, CA 95404(510) 428-3000 Get Directions Write a Review

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

About Dr. Katie Jo Keridan Psy.d. NPPES

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

DR. KATIE JO KERIDAN PSY.D. (NPI 1225349145) is an individual clinical neuropsychologist in Santa Rosa, California, licensed in California (PSY29632) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1225349145
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. KATIE JO KERIDANCredential: PSY.D.
Location Address825 COLLEGE AVE STE 4Santa Rosa, CA 95404-4108
Mailing Address1716 Hurlbut AveSebastopol, CA 95472-2881 · (707) 835-4252
Phone(510) 428-3000
Sole ProprietorYes
Enumeration DateJune 24, 2010
Last NPPES UpdateSeptember 26, 2018
✔ NPI 1225349145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in CA · PSY29632
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
825 COLLEGE AVE STE 4, Santa Rosa, CA 95404
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Other Providers at the Same Location NPPES

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

DR. LOI C MEDVIN M.A., PSY.D.
Psychologist (Clinical)
825 COLLEGE AVE STE 4
SANTA ROSA, CA 95404
Sonoma County (707) 962-4196

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 Katie Keridan's NPI number?

The NPI number for Katie Keridan is 1225349145. It was assigned to this individual provider in the NPPES registry on June 24, 2010.

Where is Katie Keridan located?

Katie Keridan practices at 825 College Ave Ste 4, Santa Rosa, CA 95404. The listed phone number is (510) 428-3000.

What is Katie Keridan's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Katie Keridan was last updated on September 26, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.