Kathleen Caffrey, PHD
Individual provider Active NPI Clinical Psychologist · Pullman, WA
NPI 1306428016 · NPPES record last updated Jul 7, 2023
Key facts
- NPI
- 1306428016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSYC.PY.61099069 (WA)
- Practice address
- 405 S Grand Ave Ste a
Pullman, WA 99163-2712 - Phone
- (509) 339-6401
- NPI assigned
- Apr 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210521000581 | WA | Practitioner - Clinical Psychologist | 4981003068 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSYC.PY.61099069 | WA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pullman Behavioral Health PLLC | Clinical | Current |
Accepting new patients |
Locations
405 S Grand Ave
Ste A
Pullman, WA 99163
Phone (509) 339-6401
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSYC.PY.61099069 | WA | Yes |
Addresses
Primary practice location
405 S Grand Ave Ste a
Pullman, WA 99163-2712
Mailing address
405 S Grand Ave Ste a
Pullman, WA 99163-2712
Other names
- Kathleen Hobbs
Other providers in Pullman, WA
- Morgan Elizabeth Burke
- John Burton
- Brenda Kay Deal Bye
- Traci Byrne
- Michael Jack Cady
- Brian Q Cai
- Eliza Campbell
- Nigel Harris Campbell
- Bradly John Capawana
- Kevin W Cardwell
All providers in Pullman, WA · Clinical Psychologist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.