KATHERINE ROBERTSON PSY.D.
NPI 1619742111
Psychologist - Clinical in Burlingame, CA

Q: What is Katherine Robertson's NPI number?

The NPI number for Katherine Robertson is 1619742111. It was assigned to this individual provider in the NPPES registry on November 15, 2023.

Q: What is Katherine Robertson's specialty?

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

Active since November 15, 2023PECOS Enrolled

270 EAST LN, BURLINGAME, CA 94010(877) 505-7147 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Katherine Robertson Psy.d. NPPES

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

KATHERINE ROBERTSON PSY.D. (NPI 1619742111) is an individual clinical provider in Burlingame, California, licensed in California (PSY34656) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619742111

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKATHERINE ROBERTSONCredential: PSY.D.

Location Address270 EAST LNBurlingame, CA 94010-2881

Mailing Address1 Alexis CtMenlo Park, CA 94025-6624

Phone(877) 505-7147

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 15, 2023

NPPES CertifiedNovember 15, 2023

✔ NPI 1619742111 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 CA · PSY34656

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.

270 EAST LN, Burlingame, CA 94010

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Robertson Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860912110

PECOS Enrollment IDI20251014000877

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 Robertson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

9.1 mi

Internal Medicine

1190 VETERANS BLVD
Redwood City, CA 94063

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1639252604 (650) 299-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94010 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

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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 15

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

TIFFANY RADCLIFF LPC, LCPC

Counselor (Professional)