Kathleen Caffrey, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSYC.PY.61099069 Issued in WA

Practice address

405 S Grand Ave Ste a
Pullman, WA 99163-2712

Phone

(509) 339-6401

NPI assigned

Apr 22, 2021

Last updated

Jul 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kathleen Hobbs Former name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Pullman Behavioral Health PLLC

  • Clinical Psychologist
  • Pullman, WA
  • NPI 1811695737
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1306428016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S GRAND AVE STE A",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991632712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S GRAND AVE STE A",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991632712",
            "telephone_number": "509-339-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAFFREY",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PSYC.PY.61099069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "HOBBS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Morgan Elizabeth Burke, FNP-C
• John Burton
• Brenda Kay Deal Bye, D.O.
• Traci Byrne, M.ED.
• Michael Jack Cady, DPT
• Brian Q Cai
• Eliza Campbell
• Nigel Harris Campbell, MD
• Bradly John Capawana, DPM
• Kevin W Cardwell, PA-C

• Clinical Psychologist in Pullman, WA
• Providers in Pullman, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.