Active NPI
Kurt C. Webb, PSYD
- Clinical Psychologist
- McMinnville, OR
National Provider Identifier
1831500107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2622
- Practice address
- 717 SW Gilson Street
McMinnville, OR 97128-6913 - Phone
- (503) 931-7260
- Fax
- (888) 975-3408
- NPI assigned
- May 8, 2014
- Last updated
- Jan 11, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2622 | OR | Primary |
Addresses
Primary practice location
717 SW Gilson Street
McMinnville, OR 97128-6913
Mailing address
717 SW Gilson Street
McMinnville, OR 97128-6913
Phone (503) 931-7260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 11, 2022 through Nov 11, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2622 | OR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547164800000",
"number": "1831500107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 SW GILSON STREET",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971286913",
"telephone_number": "503-931-7260",
"fax_number": "888-975-3408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 SW GILSON STREET",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971286913",
"telephone_number": "503-931-7260",
"fax_number": "888-975-3408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "KURT",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-08",
"last_updated": "2019-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "2622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.