Active NPI
Katherine Mary Marsh, PSY.D.
- Clinical Psychologist
- Lacey, WA
National Provider Identifier
1518200724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY60342353
- Practice address
- 5191 Corporate Center Court SE
Lacey, WA 98503 - Phone
- (360) 236-0206
- Fax
- (360) 236-9909
- NPI assigned
- Apr 5, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY60342353 | WA | Primary |
| Clinical Psychologist | 103TC0700X | 0810004705 | VA |
Addresses
Primary practice location
5191 Corporate Center Court SE
Lacey, WA 98503
Mailing address
5191 Corporate Center Court SE
Lacey, WA 98503
Phone (360) 236-0206
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 |
|---|---|---|---|
| 0810004705 | VA | MD | Clinical Psychologist |
| PY60342353 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1518200724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5191 CORPORATE CENTER COURT SE",
"city": "LACEY",
"state": "WA",
"postal_code": "98503",
"telephone_number": "360-236-0206",
"fax_number": "360-236-9909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5191 CORPORATE CENTER COURT SE",
"city": "LACEY",
"state": "WA",
"postal_code": "98503",
"telephone_number": "360-236-0206",
"fax_number": "360-236-9909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSH",
"first_name": "KATHERINE",
"middle_name": "MARY",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-05",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60342353",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810004705",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.