Kathrine Marie Hak, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3941 Issued in CO

Practice address

905 15TH Ave
Longmont, CO 80501-2715

Phone

(360) 903-8547

NPI assigned

Mar 27, 2013

Last updated

Jun 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Kathrine Marie Koehler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Laarc LLC

  • Psychologist
  • Longmont, CO
  • NPI 1841678620
  NPD (past) Authorized official

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1750624862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 15TH AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012715",
            "telephone_number": "360-903-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 15TH AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012715",
            "telephone_number": "360-903-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAK",
        "first_name": "KATHRINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "3941",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-14-15371",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRINE",
            "last_name": "KOEHLER",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dominica Annabeth Hadley, PA-C
• Hafezzadeh Vision LLC
• Neka Hafezzadeh, O.D.
• Shan Daniel Hager, D.C.
• Sarah Haggerty, LPC
• Kalli Hale, M.S.
• Haleh Nekoorad-Long,M.D.,P.C. (Colorado Mood and Memory Clinic)
• Stephen Douglas Haley, MD
• Linda Hall-Taylor, PH.D.
• Jacob Hall, D.C.

• Psychologist in Longmont, CO
• Providers in Longmont, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.