DR. KATHERINE C ANDRE (PH.D.) – Clinical Psychologist, NPI 1255412870

DR. KATHERINE C ANDRE (PH.D.) is a healthcare provider. based in Lakeport, California. specializing in Clinical Psychologist. They hold the professional credentials PH.D.. They hold a License No. PSY 12257 (CA). The NPI Number for DR. KATHERINE C ANDRE (PH.D.) is 1255412870

Main info

Female
Sole Proprietor
40 Years Of Experience
Name
DR. KATHERINE C ANDRE (PH.D.)
NPI
1255412870
Phone
(707) 263-6360
Address
PO BOX 1192
Enumeration Date
18 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
70726383821204
Graduation Year
1986 (40 years ago)
PAC ID
5294879839
Group Practice PAC ID
8729975545
Professional Enrollment ID
I20100219000278
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KATHERINE C ANDRE (PH.D.)

  • Lakeport Post Office, Clinton Street, Lakeport, Laconia, Belknap County, New Hampshire, 03246, United States

    LAKEPORT, CA 954531192

    Phone: (707) 263-6360

    Fax: (707) 263-6360

    Type: Mailing

  • 75, 4th Street, Lakeport, Lake County, California, 95453, United States

    LAKEPORT, CA 954534804

    Phone: (707) 263-6360

    Fax: (707) 263-6360

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-06-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100219000278IClinical PsychologistCATBD
I20220615002895IPsychologist Billing IndependentlyMSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour14711$0
View full utilization report →

Insurance plans in this area (ZIP 95453)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729975545View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
Family PracticeCA
Physical Medicine And RehabilitationCO
Marriage And Family TherapistCA
Family PracticeCA
Anesthesiology, Pain ManagementCA
O P H T H A L M O L O G YIA
Clinical Social WorkerMD
Clinical Social WorkerCA
Physician AssistantCA

Reviews

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Frequently asked questions

How do I look up DR. KATHERINE C ANDRE (PH.D.) by NPI?
Use NPI 1255412870 when you need to reference DR. KATHERINE C ANDRE (PH.D.) in forms, claims, or directories.
Is DR. KATHERINE C ANDRE (PH.D.) active in the national directory?
DR. KATHERINE C ANDRE (PH.D.)'s public NPI profile is in an active state.
Does DR. KATHERINE C ANDRE (PH.D.) list a primary specialty?
If you are matching referrals, note Clinical Psychologist for DR. KATHERINE C ANDRE (PH.D.). Clinical services aligned with this taxonomy classification.
Where is DR. KATHERINE C ANDRE (PH.D.)'s primary listing?
We display Lakeport, California because that is what the record indicates for DR. KATHERINE C ANDRE (PH.D.).
What if Lakeport, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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