Active NPI
Patricia Kay Kerig, PHD
- Clinical Psychologist
- McKinleyville, CA
National Provider Identifier
1669239232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7439026-2501
- Practice address
- 2898 Sandpointe Dr
McKinleyville, CA 95519-6409 - Phone
- (801) 245-0189
- NPI assigned
- Feb 29, 2024
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7439026-2501 | UT | Primary |
Addresses
Primary practice location
2898 Sandpointe Dr
McKinleyville, CA 95519-6409
Mailing address
2898 Sandpointe Dr
McKinleyville, CA 95519-6409
Phone (801) 245-0189
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 |
|---|---|---|---|
| 7439026-2501 | UT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1669239232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2898 SANDPOINTE DR",
"city": "MCKINLEYVILLE",
"state": "CA",
"postal_code": "955196409",
"telephone_number": "801-245-0189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2898 SANDPOINTE DR",
"city": "MCKINLEYVILLE",
"state": "CA",
"postal_code": "955196409",
"telephone_number": "801-245-0189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERIG",
"first_name": "PATRICIA",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-29",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "UT",
"license": "7439026-2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinleyville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.