Kristin Kahle Wrobleski, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20042282A Issued in IN

Practice address

745 NW Mt Washington Dr
Ste 303
Bend, OR 97703-1576

Phone

(541) 696-3839

NPI assigned

Oct 30, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Three Pines Neuropsychology

  • Clinical Psychologist
  • Bend, OR
  • NPI 1114841236
  NPD (past) Authorized official

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1861645137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 NW MT WASHINGTON DR",
            "address_2": "STE 303",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031576",
            "telephone_number": "541-696-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 NW MT WASHINGTON DR",
            "address_2": "STE 303",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031576",
            "telephone_number": "541-696-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WROBLESKI",
        "first_name": "KRISTIN",
        "middle_name": "KAHLE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042282A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200927880",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000594997",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destiny Wrich
• Christopher Wright, PA-C
• Emily Nadia Raven Wright, THW, QMHP
• Michelle A Wright, FNP
• Siara Wright
• Glenn M Wulf, PA-C
• Darcy Dubuc Wynn, M.D.
• Katherine Wyrick, DO
• Diane Wong Yamamoto, PHARM.D.
• Maia Joy Yamasaki, LPC

• Clinical Psychologist in Bend, OR
• Providers in Bend, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.