Individual provider Active NPI

Karen C. Lindner, PH.D.

  • Psychologist
  • Port Orchard, WA
National Provider Identifier
1558345884
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
WAPY00000897 Issued in WA
Practice address
104 Tremont St Ste 130140
Port Orchard, WA 98366-3775
Phone
(360) 519-3480
Fax
(360) 443-2058
NPI assigned
Nov 30, 2005
Last updated
May 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY00000897 WA
Psychologist 103T00000X WAPY00000897 WA Primary

Addresses

Primary practice location

104 Tremont St Ste 130140
Port Orchard, WA 98366-3775

Mailing address

1497 SE Bethel Valley LN
Port Orchard, WA 98366-5606
Phone (360) 443-6121

Other practice location 1

1730 Pottery Ave
Suite 120
Port Orchard, WA 98366-2565
Phone (360) 876-5483

Other identifiers 3

IdentifierTypeStateIssuer
5858LIOtherWAASURIS NORTHWEST HEALTH
227157000OtherMOMAGELLAN HEALTH SERVICES
7006794MedicaidWA

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 Philosophy

State licenses

LicenseStateTypeSpecialty
WAPY00000897WAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1558345884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 SE BETHEL VALLEY LN",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665606",
            "telephone_number": "360-443-6121",
            "fax_number": "360-519-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 TREMONT ST STE 130140",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663775",
            "telephone_number": "360-519-3480",
            "fax_number": "360-443-2058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1730 Pottery Ave",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Port Orchard",
            "state": "WA",
            "postal_code": "983662565",
            "country_code": "US",
            "telephone_number": "360-876-5483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDNER",
        "first_name": "KAREN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00000897",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "WAPY00000897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASURIS NORTHWEST HEALTH",
            "identifier": "5858LI",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH SERVICES",
            "identifier": "227157000",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7006794",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.