Kristie Schmidlkofer, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2125 Issued in OR

Practice address

125 NE 3Rd St
McMinnville, OR 97128-4901

Phone

(503) 210-5214

NPI assigned

Feb 26, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Pacific Northwest Psychology Associates

  • Clinical Psychologist
  • McMinnville, OR
  • NPI 1972360121
  NPD Authorized official
• West Oak Psychology, LLC

  • Psychologist
  • McMinnville, OR
  • NPI 1669123048
  NPD

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1316116189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 SW KECK DR # 211",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286691",
            "telephone_number": "503-318-9692",
            "fax_number": "503-434-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 NE 3RD ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284901",
            "telephone_number": "503-210-5214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2435 NE Cumulus Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971288805",
            "country_code": "US",
            "telephone_number": "503-472-6161",
            "fax_number": "503-434-6290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 NE 3rd St",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971284901",
            "country_code": "US",
            "telephone_number": "503-210-5214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "424 SE 4th St",
            "address_2": "Unit #1, Studio 3",
            "address_purpose": "LOCATION",
            "city": "McMInnville",
            "state": "OR",
            "postal_code": "971289712",
            "country_code": "US",
            "telephone_number": "503-210-5214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDLKOFER",
        "first_name": "KRISTIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2024-05-22",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164936",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce Glen Scanlon, ATC/R
• Jeremy Scheuermann, DPT
• Scott Eric Schieber, MD
• Melissa Schierholtz
• Lisa Schiro, M.A.
• Kenneth G Schmidt, M.D.
• Creagh Hawes Schoen, NURSE PRACTITIONER
• Caitlin Briana Schrage, LCSW
• Victoria Schreiner, NP
• Melissa Marie Schrepel, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.