Active NPI
Catherine Maria Caska Wallace, PH.D.
- Clinical Psychologist
- Seattle, WA
National Provider Identifier
1598150575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY 60467844
- Practice address
- 1660 S Columbian Way # 116MHC
Seattle, WA 98108-1532 - Phone
- (206) 768-5428
- Fax
- (206) 764-2572
- NPI assigned
- Apr 6, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | PY 60467844 | WA | |
| Clinical Psychologist | 103TC0700X | PY 60467844 | WA | Primary |
| Family Psychologist | 103TF0000X | PY 60467844 | WA | |
| Group Psychotherapy Psychologist | 103TP2701X | PY 60467844 | WA |
Addresses
Primary practice location
1660 S Columbian Way # 116MHC
Seattle, WA 98108-1532
Mailing address
1660 S Columbian Way # 116MHC
Seattle, WA 98108-1532
Phone (206) 768-5428
Other names 1
- Dr. Catherine Maria Caska
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 60467844 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428278400000",
"number": "1598150575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 S COLUMBIAN WAY # 116MHC",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981081532",
"telephone_number": "206-768-5428",
"fax_number": "206-764-2572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 S COLUMBIAN WAY # 116MHC",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981081532",
"telephone_number": "206-768-5428",
"fax_number": "206-764-2572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLACE",
"first_name": "CATHERINE",
"middle_name": "MARIA CASKA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-06",
"last_updated": "2015-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "WA",
"license": "PY 60467844",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY 60467844",
"primary": true
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "WA",
"license": "PY 60467844",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "WA",
"license": "PY 60467844",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CATHERINE",
"last_name": "CASKA",
"middle_name": "MARIA",
"prefix": "DR.",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.