Marlis Cornelia Kirchhoff, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY60677390 Issued in WA

Practice address

305 Troy Mall Lane Washington State Univ
Pullman, WA 99164-0001

Phone

(509) 335-3935

Fax

(509) 335-1030

NPI assigned

Jun 30, 2021

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

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 and National Provider Directory roles.

• Washington State University

  • Psychologist
  • Pullman, WA
  • NPI 1861866535
  NPD (past)

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1770153801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 644820 WASHINGTON STATE UNIV",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991644820",
            "telephone_number": "509-335-3935",
            "fax_number": "509-335-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 TROY MALL LANE WASHINGTON STATE UNIV",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991640001",
            "telephone_number": "509-335-3935",
            "fax_number": "509-335-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRCHHOFF",
        "first_name": "MARLIS",
        "middle_name": "CORNELIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY-203377",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60677390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Mabel Khatiera
• Nancy Kimani
• Kathleen Elizabeth Kincaid, ARNP
• Carly King, PTA
• Anna Vladimirovna Kinyanjui, MT
• Risper Kirui, MD
• Matthew P Klein
• Alyssa Knight
• Sean Knight, PT
• Shaunicy Knudson

• Clinical Psychologist in Pullman, WA
• Providers in Pullman, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.