Kimberly H Schlievert, PH.D. IN PSYCHOLOGY

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1968 Issued in OR

Practice address

880 82ND Dr
Gladstone, OR 97027-1803

Phone

(503) 659-5515

Fax

(503) 659-1994

NPI assigned

Nov 28, 2008

Last updated

Nov 28, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1227830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227830400000",
    "number": "1245485507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 82ND DR",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970271803",
            "telephone_number": "503-659-5515",
            "fax_number": "503-659-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 82ND DR",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970271803",
            "telephone_number": "503-659-5515",
            "fax_number": "503-659-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLIEVERT",
        "first_name": "KIMBERLY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PH.D. IN PSYCHOLOGY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-28",
        "last_updated": "2008-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1968",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "12529",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164936",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney Jean Satnowski
• Joseph A Sawyer, D.M.D.
• April Schein
• Schlenker Health Group LLC (Schlenker Chiropractic and Associates)
• Jason Schlenker, DC
• Peggy J Seiler
• Shannon L Sexton, RN
• Tiara Sharpes
• Lisa Ann Mazzocut Siino, DO
• Skylar Marie Skelton, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2008; 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.