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DR. KATHERINE BOTHOS LLC
NPI 1871044388
Psychologist - Clinical in Fairfield, CT

Active since October 19, 2016
170 POST RD, SUITE 208, FAIRFIELD, CT 06824(203) 445-3736 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Katherine Bothos Llc NPPES

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

DR. KATHERINE BOTHOS LLC (NPI 1871044388) is a healthcare organization registered as a clinical in Fairfield, Connecticut and active in the NPI registry since October 2016. The organization lists Katherine Bothos, Licensed Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1871044388
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameDR. KATHERINE BOTHOS LLC
Location Address170 POST RD, SUITE 208Fairfield, CT 06824-6262
Mailing Address170 Post Rd, Suite 208Fairfield, CT 06824-6262 · (203) 445-3736
Phone(203) 445-3736
Organization SubpartNo
Authorized OfficialKatherine BothosLicensed Clinical Psychologist · (203) 445-3736
Enumeration DateOctober 19, 2016
✔ NPI 1871044388 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 CT · 002950
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.
170 POST RD, Fairfield, CT 06824
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Other Identifiers 1

Medicaid008025366CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Katherine Bothos Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Katherine Bothos LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Katherine Bothos, PSY.D
Clinical Psychologist
NPI 1114254836
170 POST RD SUITE 208
Fairfield, CT 06824
(203) 445-3736
✔ PECOSSame address

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

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 Dr. Katherine Bothos LLC's NPI number?

The NPI number for Dr. Katherine Bothos LLC is 1871044388. It was assigned to this organization in the NPPES registry on October 19, 2016.

Where is Dr. Katherine Bothos LLC located?

Dr. Katherine Bothos LLC is located at 170 Post Rd Suite 208, Fairfield, CT 06824. The listed phone number is (203) 445-3736.

What is Dr. Katherine Bothos LLC's specialty?

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

Is Dr. Katherine Bothos LLC enrolled in Medicare?

Yes. Dr. Katherine Bothos LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. Katherine Bothos LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Dr. Katherine Bothos LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr. Katherine Bothos LLC was last updated on October 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.