Organization Active NPI

Alderwood Psychological Services, Inc.

  • Counseling Psychologist
  • Lynnwood, WA
National Provider Identifier
1497964027
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY00002407 Issued in WA
Legal business name
ALDERWOOD PSYCHOLOGICAL SERVICES, INC.
Practice address
19221 36TH Ave W
Suite 207
Lynnwood, WA 98036-5796
Phone
(425) 744-0890
Fax
(425) 482-1274
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Kathleen Matkoski, PH.D.NPI 1205056439
Title
President
Phone
(425) 744-0890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PY00002407 WA
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X PY00002407 WA Primary

Addresses

Primary practice location

19221 36TH Ave W
Suite 207
Lynnwood, WA 98036-5796

Mailing address

19221 36TH Ave W
Suite 207
Lynnwood, WA 98036-5796
Phone (425) 744-0890

National Provider Directory

National Provider Directory

Locations

19221 36th Ave W
Ste 207
Lynnwood, WA 98036
Phone (314) 401-6590

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1497964027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19221 36TH AVE W",
            "address_2": "SUITE 207",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365796",
            "telephone_number": "425-744-0890",
            "fax_number": "425-482-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19221 36TH AVE W",
            "address_2": "SUITE 207",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365796",
            "telephone_number": "425-744-0890",
            "fax_number": "425-482-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDERWOOD PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MATKOSKI",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-744-0890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00002407",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "PY00002407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.