NPIMap

Individual provider Active NPI

Kathleen Worsley, PHD

  • Psychologist
  • Redmond, WA
National Provider Identifier
1013000215
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY00000571 Issued in WA
Practice address
17530 NE Union Hill Rd Ste 270
Redmond, WA 98052-3388
Phone
(425) 749-8969
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Psychologist 103T00000X PY00000571 WA Primary

Addresses

Primary practice location

17530 NE Union Hill Rd Ste 270
Redmond, WA 98052-3388

Mailing address

17530 NE Union Hill Rd Ste 270
Redmond, WA 98052-3388
Phone (425) 749-8969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Kathleen Worsley PastSince Feb 6, 2014 Accepting new patients
Holley Kaskel PSYD LLC Psychologist Past Accepting new patients
Lightheart Associates PS Psychologist PastSince Apr 22, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1013000215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17530 NE UNION HILL RD STE 270",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523388",
            "telephone_number": "425-749-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17530 NE UNION HILL RD STE 270",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523388",
            "telephone_number": "425-749-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORSLEY",
        "first_name": "KATHLEEN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00000571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.