Klamath Psychological Assessment Services, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1399 Issued in OR

Legal business name

KLAMATH PSYCHOLOGICAL ASSESSMENT SERVICES, INC.

Practice address

2025 California Ave
Klamath Falls, OR 97601-2062

Phone

(541) 331-3814

NPI assigned

Jan 1, 2007

Organization subpart

No

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

Authorized official

Name

Susan Donnell, PH.D

Title

President

Phone

(541) 331-3814

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164588273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 CALIFORNIA AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976012062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 CALIFORNIA AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976012062",
            "telephone_number": "541-331-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLAMATH PSYCHOLOGICAL ASSESSMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DONNELL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-331-3814",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP",
            "identifier": "292325",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON DEPT OF HUMAN SERV",
            "identifier": "N35880",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Klamath Orthopedic Clinic PC
• Klamath Pain Clinic PC
• Klamath Pathology Associates, PC
• Klamath Pediatric Clinic, PC
• Klamath Physician Assistants LLC
• Klamath Radiology Associates PC
• Klamath Smiles, LLC
• Klamath Surgery Center LLC (Klamath Surgery Center)
• Klamath Surgical Associates PC
• Klamath Surgical Specialists. PC

• Clinical Psychologist in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.