Active NPI
Kathryn Eva Korslund, PH.D., ABPP
- Cognitive & Behavioral Psychologist
- Bellevue, WA
National Provider Identifier
1942601406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- PY 00002598
- Practice address
- 1400 SE 6TH Street
Suite 200
Bellevue, WA 98004 - Phone
- (425) 454-1199
- Fax
- (425) 454-8779
- NPI assigned
- Sep 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY 00002598 | WA | |
| Clinical Psychologist | 103TC0700X | PY 00002598 | WA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PY 00002598 | WA | Primary |
Addresses
Primary practice location
1400 SE 6TH Street
Suite 200
Bellevue, WA 98004
Mailing address
1400 SE 6TH Street
Suite 200
Bellevue, WA 98004
Phone (425) 454-1199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 00002598 | WA | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thira Health | Past | Accepting new patients |
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.
-
- Adult Mental Health Clinic/Center
- Bellevue, WA
- NPI 1720483480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1942601406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 SE 6TH STREET",
"address_2": "SUITE 200",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98004",
"telephone_number": "425-454-1199",
"fax_number": "425-454-8779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 SE 6TH STREET",
"address_2": "SUITE 200",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98004",
"telephone_number": "425-454-1199",
"fax_number": "425-454-8779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORSLUND",
"first_name": "KATHRYN",
"middle_name": "EVA",
"name_prefix": "Dr.",
"credential": "PH.D., ABPP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-15",
"last_updated": "2023-04-04",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY 00002598",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY 00002598",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "WA",
"license": "PY 00002598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.