Kimberly Cole, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00003698 Issued in WA

Practice address

108 N Jefferson St
Medical Lake, WA 99022-9613

Phone

(509) 496-2857

Fax

(509) 315-5048

NPI assigned

Apr 7, 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 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

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Briar Rose Center, the Home of Hope

  • Clinical Psychologist
  • Spokane Valley, WA
  • NPI 1437397627
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1326211731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14304 E 10TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990379648",
            "telephone_number": "509-496-2857",
            "fax_number": "509-315-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N JEFFERSON ST",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990229613",
            "telephone_number": "509-496-2857",
            "fax_number": "509-315-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00003698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7142250",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Castellaw
• Eric John Chase, PHARM.D
• Cheney Owl Pharmacy Inc
• Lynee L Clay, RN
• Debra Jean Clinton, PA-C
• Compassion First Psychiatry PLLC
• Alton J Couturier, PHD
• Laura Cox, AGNP
• Thomas A. Crisp Jr., D.O.
• Stanley Todd Crocker, RD

• Clinical Psychologist in Medical Lake, WA
• Providers in Medical Lake, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.