Active NPI
Thierry Kolpin, PH.D.
- Psychologist
- Poulsbo, WA
National Provider Identifier
1801253398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY27423
- Practice address
- 1050 NE Hostmark St Ste 205
Poulsbo, WA 98370-7538 - Phone
- (360) 200-8811
- Fax
- (360) 900-0321
- NPI assigned
- Jan 28, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PY61358760 | WA | |
| Psychologist | 103T00000X | PSY27423 | CA | Primary |
Addresses
Primary practice location
1050 NE Hostmark St Ste 205
Poulsbo, WA 98370-7538
Mailing address
1050 NE Hostmark St Ste 205
Poulsbo, WA 98370-7538
Phone (909) 992-8500
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY27423 | CA | MD | Psychologist |
| PY61358760 | WA | MD | Counseling Psychologist |
| 27423 | CA | MD | General Practice Dentistry |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740268800000",
"number": "1801253398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 NE HOSTMARK ST STE 205",
"city": "POULSBO",
"state": "WA",
"postal_code": "983707538",
"telephone_number": "909-992-8500",
"fax_number": "360-900-0321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 NE HOSTMARK ST STE 205",
"city": "POULSBO",
"state": "WA",
"postal_code": "983707538",
"telephone_number": "360-200-8811",
"fax_number": "360-900-0321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLPIN",
"first_name": "THIERRY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-28",
"last_updated": "2025-02-23",
"certification_date": "2025-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "WA",
"license": "PY61358760",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY27423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.