Individual provider Active NPI

Judy Korlene Eekhoff, PHD, FIPA

  • Clinical Psychologist
  • Seattle, WA
National Provider Identifier
1154503589
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1016 Issued in WA
Practice address
1708 31St Ave S
Seattle, WA 98144-4902
Phone
(206) 328-5257
NPI assigned
Nov 27, 2007
Last updated
Nov 27, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1016 WA Primary

Addresses

Primary practice location

1708 31St Ave S
Seattle, WA 98144-4902

Mailing address

1708 31St Ave S
Seattle, WA 98144-4902
Phone (206) 328-5257

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

LicenseStateTypeSpecialty
1016WAMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1154503589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 31ST AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981444902",
            "telephone_number": "206-328-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 31ST AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981444902",
            "telephone_number": "206-328-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EEKHOFF",
        "first_name": "JUDY",
        "middle_name": "KORLENE",
        "name_prefix": "Dr.",
        "credential": "PHD, FIPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "1016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.