Kohler Psychiatry

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

KOHLER PSYCHIATRY

Practice address

705 Gage Blvd Ste 100
Richland, WA 99352-9716

Phone

(509) 518-0876

Fax

(509) 987-1011

NPI assigned

Feb 8, 2024

Last updated

Feb 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin Lee Kohler, PMHNPNPI 1669196994

Title

Owner

Phone

(509) 518-0876

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin Lee Kohler, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Richland, WA
  • NPI 1669196994
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1811751092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 GAGE BLVD STE 100",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529716",
            "telephone_number": "509-518-0876",
            "fax_number": "509-987-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 GAGE BLVD STE 100",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529716",
            "telephone_number": "509-518-0876",
            "fax_number": "509-987-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOHLER PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "KOHLER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-518-0876",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon Knutson
• Brent Arthur Knutzen, ARNP
• Kris Francis Kobalter, MD
• Brandi L. Koehler, L.M.P.
• Stephanie Koerner, MA
• Justin Lee Kohler, PMHNP
• Michael John Kohlman Jr., M.D.
• Corey Elizabeth Kolln, LMT
• Laura E. Kopel, MD
• Christine Korenko, RDH

• Psychiatry Physician in Richland, WA
• Providers in Richland, WA by specialty
• Psychiatry Physician in Washington

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

Verify at the official NPI Registry.