Organization Active NPI

Kristi Schermerhorn PH.D., P.S.

  • Clinical Psychologist
  • Redmond, WA
National Provider Identifier
1710028915
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 2398 Issued in WA
Legal business name
KRISTI SCHERMERHORN PH.D., P.S.
Practice address
17530 NE Union Hill Rd
Suite 200
Redmond, WA 98052-3387
Phone
(425) 882-1616
Fax
(425) 883-6241
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kristi Ann Schermerhorn, PH.D.
Title
President
Phone
(425) 882-1616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY 2398 WA Primary

Addresses

Primary practice location

17530 NE Union Hill Rd
Suite 200
Redmond, WA 98052-3387

Mailing address

17530 NE Union Hill Rd
Suite 200
Redmond, WA 98052-3387
Phone (425) 882-1616

National Provider Directory

National Provider Directory

Locations

17530 NE Union Hill Rd
Ste 200
Redmond, WA 98052
Phone (425) 882-1616

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710028915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17530 NE UNION HILL RD",
            "address_2": "SUITE 200",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523387",
            "telephone_number": "425-882-1616",
            "fax_number": "425-883-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17530 NE UNION HILL RD",
            "address_2": "SUITE 200",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523387",
            "telephone_number": "425-882-1616",
            "fax_number": "425-883-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTI SCHERMERHORN PH.D., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHERMERHORN",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-882-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY 2398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.