Elizabeth Kirkhart, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1082 Issued in OR

Practice address

1375 SW Blaine CT
Gresham, OR 97080-5383

Phone

(503) 661-4126

Fax

(503) 661-5304

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598880411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 SW BLAINE CT",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970805383",
            "telephone_number": "503-661-4126",
            "fax_number": "503-661-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 SW BLAINE CT",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970805383",
            "telephone_number": "503-661-4126",
            "fax_number": "503-661-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKHART",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "117873",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "073356",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "12096895",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN NETWORK",
            "identifier": "5289377",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grayden Woodruff King, D.P.M
• Nikkiel King, MSN FNP
• Denise D Kinstetter, MD
• Kimberly E Kintz, ANP
• Claire Jeanette Kirkendall, L.AC., RN
• Colette S. Kirkwood, OTR/L, CHT
• Brittany Nicole Kishel, M.D.
• Deja Kitchiner
• Megan Taylor Kjelden, IBCLC, RLC
• Heather R Klann, LMT

• Psychologist in Gresham, OR
• Providers in Gresham, OR by specialty
• Psychologist in Oregon

• 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.

Verify at the official NPI Registry.