Kenneth Claire Cole Jr., PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY60242645 Issued in WA

Practice address

6816 W. Rio Grande Ave.
Suite D
Kennewick, WA 99336

Phone

(509) 737-9009

Fax

(509) 737-9010

NPI assigned

Dec 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1417012873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6917 W GRANDRIDGE BLVD",
            "address_2": "SUITE D",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367737",
            "telephone_number": "509-737-9009",
            "fax_number": "509-737-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6816 W. RIO GRANDE AVE.",
            "address_2": "SUITE D",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99336",
            "telephone_number": "509-737-9009",
            "fax_number": "509-737-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "KENNETH",
        "middle_name": "CLAIRE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60242645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miles Colburn, BA
• Ariana Cole-Schuldheisz
• Frank E Cole, MD PS
• Joshua Cole, MA
• Kelly Lizeth Cole, PHARMD
• Amanda Coleman
• Archie A Coleman, RN
• Darryl Lee Coleman
• Nicholas Scott Coleman
• Anahi V Collas

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.