Active NPI
Katherine Warner, LICENSED PSYCHOLOGIS
- Clinical Neuropsychologist
- Medford, OR
National Provider Identifier
1730335894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 2183
- Practice address
- 1016 Court St
Medford, OR 97501-5728 - Phone
- (541) 772-3524
- Fax
- (541) 499-0085
- NPI assigned
- Aug 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Clinical Neuropsychologist | 103G00000X | 2183 | OR | Primary |
Addresses
Primary practice location
1016 Court St
Medford, OR 97501-5728
Mailing address
1750 Delta Waters Rd
#102-266
Medford, OR 97504-9181
Phone (541) 772-3524
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329955200000",
"number": "1730335894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 DELTA WATERS RD",
"address_2": "#102-266",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975049181",
"telephone_number": "541-772-3524",
"fax_number": "541-499-0085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 COURT ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975015728",
"telephone_number": "541-772-3524",
"fax_number": "541-499-0085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "KATHERINE",
"credential": "LICENSED PSYCHOLOGIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-08",
"last_updated": "2012-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "OR",
"license": "2183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.