Judith Lynne Kirkeby, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2349 Issued in WA

Practice address

110 Prefontaine PL S Ste 608
Seattle, WA 98104-2626

Phone

(206) 389-2072

Fax

(206) 389-2083

NPI assigned

Jan 8, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1942530258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 BELMONT AVE E APT 1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981024876",
            "telephone_number": "206-328-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PREFONTAINE PL S STE 608",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042626",
            "telephone_number": "206-389-2072",
            "fax_number": "206-389-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKEBY",
        "first_name": "JUDITH",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "2349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PSYCHOLOGY LICENSE",
            "identifier": "2349",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Alexander Kirichenko, MD
• Angela Diane Kirk, PA-C
• Chad K Kirk, SOCIAL SCIENCE SPECI
• Jordan Kirk, RRT
• Vicki Kirk, LICSW
• Danielle Kirkey
• Derek Kirkham, L.AC.
• Claudia L. Kirkland, LICSW, CMHS
• Kirkman Counseling, LLC
• Alyssa Michelle Kirkman, MS, EDS, LMHCA

• Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.