Stephanie Korff

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

60010456 Issued in WA

Practice address

28710 Old Rainier Rd
Suite 100
Rainier, OR 97048-2301

Phone

(503) 791-7417

NPI assigned

Aug 12, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Geromedical Psychological Service PS

  • Clinical Psychologist
  • Portland, OR
  • NPI 1043501836
  NPD (past)
• Geromedical Psychological Service PS

  • Clinical Psychologist
  • Vancouver, WA
  • NPI 1659482925
  NPD (past)

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1174779052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28710 OLD RAINIER RD",
            "address_2": "SUITE 100",
            "city": "RAINIER",
            "state": "OR",
            "postal_code": "970482301",
            "telephone_number": "503-791-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28710 OLD RAINIER RD",
            "address_2": "SUITE 100",
            "city": "RAINIER",
            "state": "OR",
            "postal_code": "970482301",
            "telephone_number": "503-791-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORFF",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "60010456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Life Counseling
• Joelle Handley
• Crystal Nichole Harrel, LCSW
• Camille Marion Holland, MS
• Matthew Ryan Kathan, DDS
• Northwest Strong Family Dentistry
• Leslie O'Donoghue, LMHCA, LPC INTERN
• Monica Peterson, DMD
• Thanhha T Pham, DDS
• Rainier School District No 13

• Clinical Psychologist in Rainier, OR
• Providers in Rainier, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.