Provider Demographics
NPI:1487530820
Name:DESAI, KATHERINE HELENE RHODES
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:HELENE RHODES
Last Name:DESAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1818 DOROTHEA RD
Mailing Address - Street 2:
Mailing Address - City:LA HABRA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:90631-8206
Mailing Address - Country:US
Mailing Address - Phone:562-686-3528
Mailing Address - Fax:
Practice Address - Street 1:1928 NOGALES ST
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-3855
Practice Address - Country:US
Practice Address - Phone:626-238-3075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA240063708103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool