KATHRYN KROTZ
NPI 1497202709
Psychologist in Tustin, CA

Active since September 02, 2016Opted out of Medicare · through Jun 7, 2027
242 W MAIN ST STE 200K, TUSTIN, CA 92780(949) 568-3591 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 2, 2022, Oct 9, 2018, Jun 26, 2018 and 2 more (5 updates tracked since 2016).

About Kathryn Krotz NPPES

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

KATHRYN KROTZ (NPI 1497202709) is an individual psychologist in Tustin, California, licensed in California (PSY32648) and active in the NPI registry since September 2016. She has opted out of Medicare through June 7, 2027.

NPPES Registry Identity

NPI1497202709
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKATHRYN KROTZ
Location Address242 W MAIN ST STE 200KTustin, CA 92780-7742
Mailing Address970 W 190th StTorrance, CA 90502-1000
Sole ProprietorYes
Enumeration DateSeptember 2, 2016
Last NPPES UpdateNovember 2, 20225 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
NPI 1497202709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY32648
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.
242 W MAIN ST STE 200K, Tustin, CA 92780

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kathryn Krotz 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 June 7, 2021 through June 7, 2027.

Opt-Out Effective DateJune 7, 2021
Opt-Out In Effect ThroughJune 7, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Psychologist
242 W MAIN ST STE 200K
TUSTIN, CA 92780

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 Kathryn Krotz's NPI number?

The NPI number for Kathryn Krotz is 1497202709. It was assigned to this individual provider in the NPPES registry on September 2, 2016.

Where is Kathryn Krotz located?

Kathryn Krotz practices at 242 W Main St Ste 200K, Tustin, CA 92780. The listed phone number is (949) 568-3591.

What is Kathryn Krotz's specialty?

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

Is Kathryn Krotz enrolled in Medicare?

No. Kathryn Krotz has opted out of Medicare through June 7, 2027. 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 Kathryn Krotz was last updated on November 2, 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.