Katie Ugolini PHD LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

KATIE UGOLINI PHD LLC

Practice address

16110 SW Regatta LN
Beaverton, OR 97006-8942

Phone

(503) 617-6810

Fax

(503) 536-6794

NPI assigned

Nov 22, 2022

Organization subpart

No

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

Authorized official

Name

Kathleen Anne Ugolini, PH.D.

Title

Owner

Phone

(503) 617-6810

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katie A Ugolini, PHD

  • Psychologist
  • Beaverton, OR
  • NPI 1346267184
  Medicare reassignment NPD

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1164131603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 NE 25TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972116106",
            "telephone_number": "503-449-9690",
            "fax_number": "503-536-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16110 SW REGATTA LN",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970068942",
            "telephone_number": "503-617-6810",
            "fax_number": "503-536-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE UGOLINI PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "UGOLINI",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-617-6810",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1346267184",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drkatieugolini.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16110 SW Regatta Ln",
            "city": "Beaverton",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970068942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kaitlin A Kase
• Melika Kashkouli, DMD
• Mary Kass, LCSW
• Katherine Calvert LLC
• Katherine Calvert, LLC
• Jeffrey Lee Katz, MD
• Katrina Torrey Katz
• Pawandeep Kaur, ARNP
• Randeep Kaur, DA
• Cody Daryoosh Kaveh, PT, DPT

• Adult Mental Health Clinic/Center in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Adult Mental Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.