Lynda Marie Kasky Hernandez

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY60802488 Issued in WA

Practice address

3501 Colby Ave Ste 105
Everett, WA 98201-4795

Phone

(309) 369-8366

NPI assigned

May 24, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 30, 2020 through Dec 30, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1891143467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 15TH AVE W APT 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981191618",
            "telephone_number": "309-369-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 COLBY AVE STE 105",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014795",
            "telephone_number": "309-369-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASKY HERNANDEZ",
        "first_name": "LYNDA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60802488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Ann Karosa, RD
• Jasmine Nicole Catherine Karpelman
• Abigail Karpowitz
• Larry John Karr, LMP
• Sanjiv Kashyap, RPA-C
• Lesley Patrick Kassicieh, DO
• Gurmanpreet Kataria
• Katie Weaver Lmfta PLLC
• Katrina Iiams-Hauser ND, PLLC
• Naomi Katsh, MD

• Clinical Psychologist in Everett, WA
• Providers in Everett, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.