Kasha Koeslag, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

33724 Issued in CA

Practice address

5047 Robert J Mathews Pkwy Ste 302
El Dorado Hills, CA 95762-5748

Phone

(951) 532-5811

NPI assigned

Oct 25, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1801513361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 AMETHYST CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781074",
            "telephone_number": "951-532-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5047 ROBERT J MATHEWS PKWY STE 302",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957625748",
            "telephone_number": "951-532-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOESLAG",
        "first_name": "KASHA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "33724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Marre Kline
• Sarah Knight
• Vicente Paul Knight, D.M.D.
• David P. Koehn, D.D.S.
• Maria B Koehn, LMFT
• Chelsea Leigh Kolarik, COTA/L
• Katerina Kononovich
• Patrick Kortebein, MD
• Neha Kothari, DPT
• Janet Taylor Kowalchick, MPT

• Clinical Psychologist in El Dorado Hills, CA
• Providers in El Dorado Hills, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.