Katy Arleen Herr, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY60419588 Issued in WA

Practice address

1655 Hudson St
Ste 5
Longview, WA 98632-2949

Phone

(401) 375-2835

Fax

(844) 795-7470

NPI assigned

Sep 5, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: lifestancehealth.katyherr@148835.advancedmd-direct.com
• Direct secure messaging: kate.herr@811393367080964.direct.elationemr.com

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1356535199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 HUDSON ST",
            "address_2": "STE 5",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322949",
            "telephone_number": "401-375-2835",
            "fax_number": "844-795-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 HUDSON ST",
            "address_2": "STE 5",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322949",
            "telephone_number": "401-375-2835",
            "fax_number": "844-795-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERR",
        "first_name": "KATY",
        "middle_name": "ARLEEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60419588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KATE HERR, CLINICAL PSYCHOLOGIST, LLC",
            "identifier": "603-576-934",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Hans Hermansen, RDN, CDCES
• Lee Wardle Hermen, DDS
• Jessica Lassette Hernandez-Gonzales, PT, DPT
• Joseph Phillip Hernandez
• Evelyn R Heroux
• James Robert Herron III, AAC
• Shannon Rae Mallory Hertzog, BS, MS
• Kathleen Herzog, PA-C
• Raven Herzog
• Lisa Kainani Hewahewa

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.