Individual provider Active NPI

Kathleen Kim Lampson Reiff, PH.D.

  • Psychologist
  • Mercer Island, WA
National Provider Identifier
1306903562
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
00001186 Issued in WA
Practice address
9725 SE 36TH St
Suite 301
Mercer Island, WA 98040-3841
Phone
(206) 232-8404
Fax
(206) 236-2065
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 00001186 WA
Counseling Psychologist 103TC1900X 00001186 WA
Psychologist 103T00000X 00001186 WA Primary
Cognitive & Behavioral Psychologist 103TB0200X 00001186 WA

Addresses

Primary practice location

9725 SE 36TH St
Suite 301
Mercer Island, WA 98040-3841

Mailing address

9725 SE 36TH St
Suite 301
Mercer Island, WA 98040-3841
Phone (206) 232-8404

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091208000774 WA Practitioner - Clinical Psychologist 7315086014 Practice locations: Mercer Island, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2448 76TH Ave SE
Suite 201
Mercer Island, WA 98040-2744
Phone (206) 713-3919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
00001186WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kim Lampson PLLC CurrentSince Jan 1, 2015 Accepting new patients

Locations

9725 SE 36th St
Ste 301
Mercer Island, WA 98040
Phone (206) 232-8404

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1306903562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 SE 36TH ST",
            "address_2": "SUITE 301",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403841",
            "telephone_number": "206-232-8404",
            "fax_number": "206-236-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 SE 36TH ST",
            "address_2": "SUITE 301",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403841",
            "telephone_number": "206-232-8404",
            "fax_number": "206-236-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMPSON REIFF",
        "first_name": "KATHLEEN",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "00001186",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "00001186",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "00001186",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "WA",
            "license": "00001186",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

Verify at the official NPI Registry.