Individual provider Active NPI

Holley Ferrell Kaskel, PSY.D.

  • Clinical Psychologist
  • Redmond, WA
National Provider Identifier
1770817827
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 60079992 Issued in WA
Practice address
7902 168TH Ave NE Ste 101
Redmond, WA 98052-4445
Phone
(425) 996-8592
Fax
(425) 968-5619
NPI assigned
Sep 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 18951 CA
Clinical Psychologist 103TC0700X PY60079992 WA
Clinical Psychologist 103TC0700X PY 60079992 WA Primary

Addresses

Primary practice location

7902 168TH Ave NE Ste 101
Redmond, WA 98052-4445

Mailing address

7902 168TH Ave NE Ste 101
Redmond, WA 98052-4445
Phone (425) 996-8592

Other names 1

  • Dr. Holley Elizabeth Ferrell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY 18951CAMDClinical Psychologist
PY 60079992WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Kathleen Worsley PastSince Apr 9, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1770817827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7902 168TH AVE NE STE 101",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524445",
            "telephone_number": "425-996-8592",
            "fax_number": "425-968-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7902 168TH AVE NE STE 101",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524445",
            "telephone_number": "425-996-8592",
            "fax_number": "425-968-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASKEL",
        "first_name": "HOLLEY",
        "middle_name": "FERRELL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 18951",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60079992",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY 60079992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLEY",
            "last_name": "FERRELL",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.