Active NPI
Kristine Sylvia Harrison, PSY.D,
- Psychologist
- Olympia, WA
National Provider Identifier
1548487002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2061
- Practice address
- 203 4TH Avenue
Suite 320
Olympia, WA 98501 - Phone
- (360) 791-4042
- NPI assigned
- Apr 19, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2061 | WA | Primary |
Addresses
Primary practice location
203 4TH Avenue
Suite 320
Olympia, WA 98501
Mailing address
855 Trosper Rd SW
108-126
Tumwater, WA 98512
Phone (360) 791-4042
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 |
|---|---|---|---|
| 2061 | WA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548487002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 TROSPER RD SW",
"address_2": "108-126",
"city": "TUMWATER",
"state": "WA",
"postal_code": "98512",
"telephone_number": "360-791-4042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 4TH AVENUE",
"address_2": "SUITE 320",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "98501",
"telephone_number": "360-791-4042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "KRISTINE",
"middle_name": "SYLVIA",
"credential": "PSY.D,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "2061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.