Active NPI
Janice Marie Kusch, PH.D.
- Clinical Psychologist
- Richland, WA
National Provider Identifier
1093044901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY00003935
- Practice address
- 825 Jadwin Ave
Suite 250
Richland, WA 99352-3589 - Phone
- (509) 946-1020
- NPI assigned
- Dec 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY00003935 | WA | Primary |
Addresses
Primary practice location
825 Jadwin Ave
Suite 250
Richland, WA 99352-3589
Mailing address
1307 Brentwood Ave
Richland, WA 99352-9699
Phone (509) 330-0255
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00003935 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1093044901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 BRENTWOOD AVE",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993529699",
"telephone_number": "509-330-0255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 JADWIN AVE",
"address_2": "SUITE 250",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993523589",
"telephone_number": "509-946-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSCH",
"first_name": "JANICE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-24",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY00003935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.