Individual provider Active NPI

Katherine Alexis Jong, MD

  • Psychiatry Physician
  • Friday Harbor, WA
National Provider Identifier
1447614235
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD60872419 Issued in WA
Practice address
232 A St Ste C3
Friday Harbor, WA 98250-9595
Phone
(206) 486-6467
NPI assigned
Apr 8, 2016
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X MD60872419 WA
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X A177932 CA
Psychiatry Physician 2084P0800X MD60872419 WA Primary
Psychiatry Physician 2084P0800X A177932 CA
Psychiatry Physician 2084P0800X MED-PHYS-LIC-88296 MT

Addresses

Primary practice location

232 A St Ste C3
Friday Harbor, WA 98250-9595

Mailing address

689 Airport Ctr # 222
Friday Harbor, WA 98250-5505
Phone (206) 486-6467

Other practice location 1

41455 Via Del Monte
Temecula, CA 92592-9215
Phone (206) 486-6467

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A177932CAMDAddiction Medicine (Psychiatry & Neurology) Physician
MD60872419WAMDAddiction Medicine (Psychiatry & Neurology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1447614235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 AIRPORT CTR # 222",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982505505",
            "telephone_number": "206-486-6467",
            "fax_number": "917-900-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 A ST STE C3",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982509595",
            "telephone_number": "206-486-6467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41455 Via Del Monte",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925929215",
            "country_code": "US",
            "telephone_number": "206-486-6467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONG",
        "first_name": "KATHERINE",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-08",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "WA",
            "license": "MD60872419",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "A177932",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD60872419",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A177932",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MT",
            "license": "MED-PHYS-LIC-88296",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friday Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.