Organization Active NPI

Kendra Westerhaus PHD LLC

  • Clinical Child & Adolescent Psychologist
  • Pocatello, ID
National Provider Identifier
1689529620
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
KENDRA WESTERHAUS PHD LLC
Practice address
200 S Main St Ste M3
Pocatello, ID 83204-3261
Phone
(814) 777-1375
NPI assigned
Mar 4, 2026
Last updated
Mar 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Kendra Westerhaus, PHD
Title
Owner
Phone
(814) 777-1375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X Primary

Addresses

Primary practice location

200 S Main St Ste M3
Pocatello, ID 83204-3261

Mailing address

200 S Main St Ste M3
Pocatello, ID 83204-3261
Phone (814) 777-1375

National Provider Directory

National Provider Directory

Locations

200 S Main St
Ste M3
Pocatello, ID 83204
Phone (814) 777-1375

NPI Registry JSON

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1689529620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST STE M3",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043261",
            "telephone_number": "814-777-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST STE M3",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043261",
            "telephone_number": "814-777-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDRA WESTERHAUS PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "WESTERHAUS",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-777-1375",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.