Individual provider Active NPI

Christen A. Kishel, PH.D

  • Psychologist
  • Spokane, WA
National Provider Identifier
1639173479
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY00002917 Issued in WA
Practice address
400 S Jefferson St Ste 318
Spokane, WA 99204-3143
Phone
(509) 993-8301
Fax
(509) 474-0927
NPI assigned
Jun 9, 2005
Last updated
Nov 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY00002917 WA Primary
Clinical Psychologist 103TC0700X PY2917 WA

Addresses

Primary practice location

400 S Jefferson St Ste 318
Spokane, WA 99204-3143

Mailing address

2351 S Southeast Blvd Apt 1
Spokane, WA 99203-7419
Phone (509) 993-8301

Other identifiers 1

IdentifierTypeStateIssuer
8402877MedicaidWA

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
PY00002917WAMDPsychologist
PY2917WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Emdr & Counseling PLLC PastSince Feb 1, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1639173479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 S SOUTHEAST BLVD APT 1",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992037419",
            "telephone_number": "509-993-8301",
            "fax_number": "509-474-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S JEFFERSON ST STE 318",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043143",
            "telephone_number": "509-993-8301",
            "fax_number": "509-474-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISHEL",
        "first_name": "CHRISTEN",
        "middle_name": "A.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00002917",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY2917",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8402877",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.