Kristin K Schaaf, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00002397 Issued in WA

Practice address

4310 Colby Ave
Suite 201
Everett, WA 98203-2338

Phone

(425) 252-7000

Fax

(425) 252-7005

NPI assigned

Jul 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristin J Kollmeyer Former name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063428464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 COLBY AVE",
            "address_2": "SUITE 201",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032338",
            "telephone_number": "425-252-7000",
            "fax_number": "425-252-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 COLBY AVE",
            "address_2": "SUITE 201",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032338",
            "telephone_number": "425-252-7000",
            "fax_number": "425-252-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAAF",
        "first_name": "KRISTIN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00002397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "KOLLMEYER",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hunter Joseph Savoy
• Cletis Sawyer Jr.
• Charlotte P Saxby, M.D.
• Madhuri Devi Saxena, PHARMD
• SB Medical PS
• Scott Schaaf, DO
• Linda Schaefer
• Shaina Marie Schaetzel, M.D.
• Elsie Schafer
• Kyla Nichole Schaller, LMP

• Clinical Psychologist in Everett, WA
• Providers in Everett, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.