KATHERINE GRACE YODER
NPI 1619619756
Psychiatry & Neurology - Child & Adolescent Psychiatry in San Diego, CA

Active since April 09, 2022PECOS Enrolled
3020 CHILDRENS WAY # 5018, SAN DIEGO, CA 92123(858) 966-7759 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 6, 2026, Apr 6, 2026, Jun 3, 2025 and 2 more (5 updates tracked since 2022).

About Katherine Grace Yoder NPPES

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

KATHERINE GRACE YODER (NPI 1619619756) is an individual child & adolescent psychiatry provider in San Diego, California, licensed in California (20A24109) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619619756
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameKATHERINE GRACE YODER
Location Address3020 CHILDRENS WAY # 5018San Diego, CA 92123-4223
Mailing Address3020 Childrens Way # 5018San Diego, CA 92123-4223 · (858) 966-7759
Sole ProprietorYes
Enumeration DateApril 9, 2022
Last NPPES UpdateJuly 6, 20265 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1619619756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in CA · 20A24109✔ Licensed in CA · 24109
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
3020 CHILDRENS WAY # 5018, San Diego, CA 92123

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Grace Yoder 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.

Medicare Billing Reassignment

Medicare enrollment records show Katherine Yoder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
4094 4TH AVE
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 1,100 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
3020 CHILDRENS WAY # 5018
SAN DIEGO, CA 92123
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3020 CHILDRENS WAY # 5018
SAN DIEGO, CA 92123

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 Yoder's NPI number?

The NPI number for Katherine Yoder is 1619619756. It was assigned to this individual provider in the NPPES registry on April 9, 2022.

Where is Katherine Yoder located?

Katherine Yoder practices at 3020 Childrens Way # 5018, San Diego, CA 92123. The listed phone number is (858) 966-7759.

What is Katherine Yoder's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Katherine Yoder enrolled in Medicare?

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

Which organization bills Medicare for Katherine Yoder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Yoder reassigns Medicare benefits to Family Health Centers Of San Diego Inc (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Yoder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katherine Yoder was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.