Katherine Weissbourd, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY00001620 Issued in WA

Practice address

911 Western Ave.
Suite 507
Seattle, WA 98104

Phone

(206) 381-5922

NPI assigned

Oct 3, 2006

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Sherry Henderson MSW LLC

  • Clinical Social Worker
  • Seattle, WA
  • NPI 1497148522
  NPD (past)
• Stacey McFarland Licsw PLLC

  dba Stacey L. McFarland, MSW, LICSW, BCD

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seattle, WA
  • NPI 1730495409
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417041096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 WESTERN AVE.",
            "address_2": "SUITE 507",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98104",
            "telephone_number": "206-381-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 WESTERN AVE.",
            "address_2": "SUITE 507",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98104",
            "telephone_number": "206-381-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSBOURD",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PSY00001620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7071657",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitchell Weiss
• Nicholas Tsvi Weiss, M.D.
• Sara Ogdon Weiss, MD
• Sheila Shaw Weiss, M.S.
• Teresa M. Weiss, A.R.N.P.
• Kristen Weissenborn, LMHCA, ESA
• Alan Stephen Weisser, PH.D.
• Weissman and Rabi PLLC (Rainier Endodontics)
• Anna Weissman
• Hazel Faye Weissman, M.D.

• Clinical Psychologist in Seattle, WA
• Providers in Seattle, 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 8, 2007; 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.