Karen Joelle Kobliska, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY34562 Issued in CA

Practice address

489 N Tacoma St
Farmington, AR 72730-4026

Phone

(916) 223-2047

NPI assigned

Jan 23, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Psychologist

  Medicare reassignment NPD
• Think Wellness LLC

  • Adult Mental Health Clinic/Center
  • Farmington, AR
  • NPI 1346087798
  NPD Authorized official
• Pasadena Clinical Group, a Psychology Corporation

  • Psychologist
  • Pasadena, CA
  • NPI 1790213247
  NPD (past)

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1679037733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 N TACOMA ST",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727304026",
            "telephone_number": "916-223-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 N TACOMA ST",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727304026",
            "telephone_number": "916-223-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBLISKA",
        "first_name": "KAREN",
        "middle_name": "JOELLE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY34562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids Unlimited of Washington County Inc
• Kids Unlimited of Washington County Inc
• Kids Unlimited of Washington Coutny, Inc.
• Kateri Barbara Killman, LCSW
• Jessica King, R.N.
• Taylor Laduke, LD, RD, MS
• Lavender of Farmington
• Zoe Lawless
• Tiffany Laycock
• Kodi Lee

• Clinical Psychologist in Farmington, AR
• Providers in Farmington, AR by specialty
• Clinical Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.