Active NPI
Angela Klingensmith, PSYD
- Psychologist
- Richland, WA
National Provider Identifier
1962926485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- AP60098621
- Practice address
- 719 Jadwin Ave
Richland, WA 99352-4217 - Phone
- (509) 214-1894
- Fax
- (509) 464-6597
- NPI assigned
- Jul 26, 2017
- 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 | 3182 | OR | |
| Clinical Psychologist | 103TC0700X | 3182 | OR | |
| Psychologist | 103T00000X | AP60098621 | WA | Primary |
Addresses
Primary practice location
719 Jadwin Ave
Richland, WA 99352-4217
Mailing address
719 Jadwin Ave
Richland, WA 99352-4217
Phone (509) 214-1894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
719 Jadwin Ave
Richland, WA 99352-4217
Phone (715) 330-1183
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3182 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Klingensmith Counseling and Psychological Services | Clinical | Current | Accepting new patients |
Locations
719 Jadwin Ave
Ste 71911
Richland, WA 99352
Phone (715) 330-1183
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.
-
- Clinical Psychologist
- Richland, WA
- NPI 1720852429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1962926485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 JADWIN AVE",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993524217",
"telephone_number": "509-214-1894",
"fax_number": "509-464-6597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 JADWIN AVE",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993524217",
"telephone_number": "509-214-1894",
"fax_number": "509-464-6597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINGENSMITH",
"first_name": "ANGELA",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-26",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "3182",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "3182",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "AP60098621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.