Organization Active NPI

Holley Kaskel PSYD LLC

  • Psychologist
  • Sammamish, WA
National Provider Identifier
1740619295
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY 60079992 Issued in WA
Legal business name
HOLLEY KASKEL PSYD LLC
Practice address
3310 E Lake Sammamish Pkwy SE
Urban Oasis
Sammamish, WA 98075-7497
Phone
(425) 996-8592
Fax
(425) 667-8402
NPI assigned
Nov 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Authorized official

Name
Dr. Holley F Kaskel, PSY.D.
Title
Owner
Phone
(425) 213-9153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PY 60079992 WA Primary

Addresses

Primary practice location

3310 E Lake Sammamish Pkwy SE
Urban Oasis
Sammamish, WA 98075-7497

Mailing address

16541 Redmond Way
#313C
Redmond, WA 98052-4492
Phone (425) 996-8592

Other names 1

  • Center for Positive Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

16541 Redmond Way
#313C
Redmond, WA 98052

3310 E Lk Sammamish Pkwy SE
Sammamish, WA 98075
Phone (206) 391-1116

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1740619295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16541 REDMOND WAY",
            "address_2": "#313C",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524492",
            "telephone_number": "425-996-8592",
            "fax_number": "425-667-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 E LAKE SAMMAMISH PKWY SE",
            "address_2": "URBAN OASIS",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980757497",
            "telephone_number": "425-996-8592",
            "fax_number": "425-667-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLEY KASKEL PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "KASKEL",
        "authorized_official_first_name": "HOLLEY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-213-9153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY 60079992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Positive Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sammamish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.