Kathy Irene Marshack, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1961 Issued in WA

Practice address

5930 Pacific Overlook Dr
Neskowin, OR 97149-1101

Phone

(503) 222-6678

Fax

(360) 256-1084

NPI assigned

Dec 13, 2006

Last updated

Aug 26, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Kathy Irene Marin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1457412025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 PACIFIC OVERLOOK DR",
            "city": "NESKOWIN",
            "state": "OR",
            "postal_code": "971491101",
            "telephone_number": "503-222-6678",
            "fax_number": "360-256-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 PACIFIC OVERLOOK DR",
            "city": "NESKOWIN",
            "state": "OR",
            "postal_code": "971491101",
            "telephone_number": "503-222-6678",
            "fax_number": "360-256-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHACK",
        "first_name": "KATHY",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1192",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "1961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "MARIN",
            "middle_name": "IRENE",
            "prefix": "MS.",
            "credential": "PH.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robert Bruce Krueger, OT

• Psychologist in Neskowin, OR
• Providers in Neskowin, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.