Katrina Kwan, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY61229698 Issued in WA

Practice address

12061 Seabeck Hwy NW
Seabeck, WA 98380-9564

Phone

(650) 387-2578

NPI assigned

Dec 5, 2012

Last updated

Dec 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rowan Center for Behavioral Medicine, a Psychological CorporationGroup PAC ID 7911227509, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Rowan Center for Behavioral Medicine, a Psychological Corporation

  dba Rowan Center for Behavioral Medicine, A Psychological Corporation, P.C

  • Psychologist
  • Seattle, WA
  • NPI 1285411884
  Medicare reassignment Care Compare group NPD
• Rowan Center for Behavioral Medicine, a Psychological Corporation

  • Psychologist
  • Aurora, CO
  • NPI 1154200962
  NPD

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1760727580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12061 SEABECK HWY NW",
            "city": "SEABECK",
            "state": "WA",
            "postal_code": "983809564",
            "telephone_number": "650-387-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12061 SEABECK HWY NW",
            "city": "SEABECK",
            "state": "WA",
            "postal_code": "983809564",
            "telephone_number": "650-387-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAN",
        "first_name": "KATRINA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-05",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "UT",
            "license": "8399166-2501",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WA",
            "license": "PY61229698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Ann Frisbie, LMP
• Justin K Gallion, LMT
• John Sherman Hardy Jr., M.D.
• Ray John Kasper, MS.ED LMHC
• Jennifer Elaine Kepke, LPC
• Let's Talk Autism Services LLC
• Tony McCormick
• Joshua McGaughey, RN
• Cassandra Moore, REGISTERED NURSE
• Jennifer Gaye Nehr, RBT

• Clinical Neuropsychologist in Seabeck, WA
• Providers in Seabeck, WA by specialty
• Clinical Neuropsychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.