Individual provider Active NPI

Kaitlin Nicole Ohde, PHD

  • Health Psychologist
  • Seattle, WA
National Provider Identifier
1922773795
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
License
PY61173617 Issued in WA
Practice address
1600 S Columbian Way
Seattle, WA 98108-1565
Phone
(206) 716-5808
NPI assigned
Aug 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY61173617 WA
Clinical Psychologist 103TC0700X PY61173617 WA
Health Psychologist 103TH0004X PY61173617 WA Primary

Addresses

Primary practice location

1600 S Columbian Way
Seattle, WA 98108-1565

Mailing address

3701 S Hudson St Apt 418
Seattle, WA 98118-2162
Phone (816) 585-7712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 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
I20211117002813 WA Practitioner - Clinical Psychologist 1951790682 Reassigns benefits to 1 organization
I20240619001172 OR Practitioner - Clinical Psychologist 1951790682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sound Pain AllianceGroup PAC ID 0941565162, 43 clinicians

Practice addresses (Care Compare)

2298 NW Kings Blvd
Corvallis, OR 97330-3923
Phone (541) 368-5986

4029 Northwest Ave
Suite 301
Bellingham, WA 98226-9077
Phone (360) 752-0518

Merit-based Incentive Payment System (MIPS)

Final score
71.86 of 100Reported as group
Quality
61.97
Promoting interoperability
67
Improvement activities
40
Cost
71.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY61173617WAMDPsychologist
3893ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Pain Alliance Current Accepting new patients

Locations

4029 Northwest Ave
Ste 301
Bellingham, WA 98226
Phone (360) 526-8685

Organizations & group practices 2

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": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1922773795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 S HUDSON ST APT 418",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182162",
            "telephone_number": "816-585-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S COLUMBIAN WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081565",
            "telephone_number": "206-716-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHDE",
        "first_name": "KAITLIN",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY61173617",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY61173617",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "WA",
            "license": "PY61173617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.