Active NPI
Cathi A Korth, PSY.D.
- Clinical Psychologist
- Renton, WA
National Provider Identifier
1417138579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY60078002
- Practice address
- 600 Oakesdale Ave SW
Suite #104
Renton, WA 98057 - Phone
- (253) 396-1634
- Fax
- (253) 396-1663
- NPI assigned
- Nov 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY60078002 | WA | Primary |
Addresses
Primary practice location
600 Oakesdale Ave SW
Suite #104
Renton, WA 98057
Mailing address
600 Oakesdale Ave SW
Suite #104
Renton, WA 98057
Phone (425) 207-5322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY60078002 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334620800000",
"number": "1417138579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKESDALE AVE SW",
"address_2": "SUITE #104",
"city": "RENTON",
"state": "WA",
"postal_code": "98057",
"telephone_number": "425-207-5322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 OAKESDALE AVE SW",
"address_2": "SUITE #104",
"city": "RENTON",
"state": "WA",
"postal_code": "98057",
"telephone_number": "253-396-1634",
"fax_number": "253-396-1663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORTH",
"first_name": "CATHI",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-16",
"last_updated": "2012-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60078002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.