Kristen Elizabeth Weigand Michener, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PY60329475 Issued in WA

Practice address

1920 Terry Ave FL 3
Seattle, WA 98101-1425

Phone

(206) 884-2558

NPI assigned

Apr 1, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Seattle Children's Hospital

  • Specialist
  • Seattle, WA
  • NPI 1003319500
  Medicare reassignment NPD
• Seattle Childrens Hospital

  dba Seattle Childrens Outpatient Pharmacy

  • Clinic Pharmacy
  • Seattle, WA
  • NPI 1245342153
  NPD
• Lakeside Center for Autism, LLC

  • Speech-Language Pathologist
  • Bellevue, WA
  • NPI 1588802953
  NPD (past)
• Ican America

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1508325929
  NPD (past)
• Made for Kids, Inc.

  • Clinical Child & Adolescent Psychologist
  • Bogart, GA
  • NPI 1205078532
  NPD (past)

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1801038120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13037 9TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981774101",
            "telephone_number": "216-509-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 TERRY AVE FL 3",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011425",
            "telephone_number": "206-884-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIGAND MICHENER",
        "first_name": "KRISTEN",
        "middle_name": "ELIZABETH",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "WA",
            "license": "PY60329475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Scott Weidert, P.A.
• Wesley D Weidle, PA-C
• Megan Catherine Weidlich, DPT
• Andrea Ann Weidman, LPN
• Kendall Nicole Weierich, MD
• Madison Weigand, MD
• Wade Weigel, MD
• Haidyn Weight, MD
• David Scott Weigle, MD
• Honor Clare Weihe, MA, LMHCA, NCC

• Clinical Child & Adolescent Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Child & Adolescent Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.