Active NPI
L Kathleen Swanson, PSY.D.
- Health Service Psychologist
- Oak Harbor, WA
National Provider Identifier
1760620504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- PY60060689
- Practice address
- 231 SE Barrington Dr
Suite 201
Oak Harbor, WA 98277-3200 - Phone
- (360) 672-1772
- NPI assigned
- Feb 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | PY60060689 | WA | |
| Clinical Psychologist | 103TC0700X | PY60060689 | WA | |
| Family Psychologist | 103TF0000X | PY60060689 | WA | |
| Forensic Psychologist | 103TF0200X | PY60060689 | WA | |
| Health Service Psychologist | 103TH0100X | PY60060689 | WA | Primary |
| Group Psychotherapy Psychologist | 103TP2701X | PY60060689 | WA |
Addresses
Primary practice location
231 SE Barrington Dr
Suite 201
Oak Harbor, WA 98277-3200
Mailing address
231 SE Barrington Dr
Suite 201
Oak Harbor, WA 98277-3200
Phone (360) 672-1772
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY60060689 | WA | MD | Health Service Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233532800000",
"number": "1760620504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 SE BARRINGTON DR",
"address_2": "SUITE 201",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982773200",
"telephone_number": "360-672-1772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 SE BARRINGTON DR",
"address_2": "SUITE 201",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982773200",
"telephone_number": "360-672-1772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "L",
"middle_name": "KATHLEEN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-02",
"last_updated": "2009-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "WA",
"license": "PY60060689",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60060689",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "WA",
"license": "PY60060689",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "WA",
"license": "PY60060689",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "WA",
"license": "PY60060689",
"primary": true
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "WA",
"license": "PY60060689",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.