Individual provider Active NPI

Karin S Lloyd, PHD

  • Psychologist
  • Vancouver, WA
National Provider Identifier
1891128906
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY60926217 Issued in WA
Practice address
3101 SE 192ND Ave Ste 103
Vancouver, WA 98683-1443
Phone
(360) 666-4480
NPI assigned
Aug 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2667 OR
Psychologist 103T00000X PY60926217 WA Primary

Addresses

Primary practice location

3101 SE 192ND Ave Ste 103
Vancouver, WA 98683-1443

Mailing address

PO Box 3158
Portland, OR 97208-3158

Other practice location 1

101 NW 12th Ave Ste 107
Battle Ground, WA 98604-9141
Phone (360) 666-4480

Other practice location 2

700 Washington St Ste 105
Vancouver, WA 98660-3181
Phone (360) 816-7380

Other practice location 3

315 SE Stonemill Dr
Vancouver, WA 98684-6998
Phone (360) 729-8020

Other names 1

  • Karin L Sandberg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170511000585 OR Practitioner - Clinical Psychologist 3072897313
I20190329001132 WA Practitioner - Clinical Psychologist 3072897313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PeacehealthGroup PAC ID 8820178288, 245 clinicians

Practice addresses (Care Compare)

505 NE 87TH Ave
Vancouver, WA 98664-1965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY60926217WAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Dec 30, 2024 Accepting new patients

Locations

505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854

3101 SE 192nd Ave
Vancouver, WA 98683
Phone (360) 729-8010

1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100

315 SE Stonemill Dr
Vancouver, WA 98684
Phone (360) 729-8020

3101 SE 192nd Ave
Ste 103
Vancouver, WA 98683
Phone (360) 666-4480

700 Washington St
Ste 105
Vancouver, WA 98660
Phone (360) 816-7380

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1891128906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 SE 192ND AVE STE 103",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986831443",
            "telephone_number": "360-666-4480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 NW 12th Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Battle Ground",
            "state": "WA",
            "postal_code": "986049141",
            "country_code": "US",
            "telephone_number": "360-666-4480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Washington St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986603181",
            "country_code": "US",
            "telephone_number": "360-816-7380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 SE Stonemill Dr",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986846998",
            "country_code": "US",
            "telephone_number": "360-729-8020",
            "fax_number": "360-729-8021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LLOYD",
        "first_name": "KARIN",
        "middle_name": "S",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "2667",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60926217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARIN",
            "last_name": "SANDBERG",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.