Kathleen Osborne, PHD, PSYCHOLOGIST

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSYS116 Issued in AK

Practice address

615 E 82ND Ave
Stuite 102
Anchorage, AK 99518-3100

Phone

(907) 344-3338

Fax

(907) 344-8020

NPI assigned

Oct 8, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 28, 2025 through Mar 28, 2027

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• ADHD Counseling & Consulting, LLC

  • Clinical Psychologist
  • Anchorage, AK
  • NPI 1770331704
  NPD Authorized official

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1366777328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E 82ND AVE",
            "address_2": "STUITE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183100",
            "telephone_number": "907-344-3338",
            "fax_number": "907-344-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E 82ND AVE",
            "address_2": "STUITE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183100",
            "telephone_number": "907-344-3338",
            "fax_number": "907-344-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "PHD, PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-08",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "543",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AK",
            "license": "PSYS116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Hector Ortiz, PHARMACY TECHNICIAN
• Michael Wayne Orzechowski, MD
• Ebunoluwa Adewumi Osara
• Allison Osborn, RN
• Catherine Osborne, RN
• Linda Annette Osborne, LMT
• Meda Jane Osborne, OTR/L
• Sarah Osborne
• Abbigail Lee Osgood
• Marian Ochuwa Osimetha

• Clinical Psychologist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Clinical Psychologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.