Pacific Northwest Psychology Associates

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PACIFIC NORTHWEST PSYCHOLOGY ASSOCIATES

Practice address

119 NE 3Rd St
McMinnville, OR 97128-4901

Phone

(503) 210-5214

NPI assigned

Mar 4, 2024

Last updated

Mar 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kristie L Schmidlkofer, PSYDNPI 1316116189

Title

Owner / Psychologist

Phone

(503) 210-5214

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristie Schmidlkofer, PSY.D.

  • Clinical Psychologist
  • McMinnville, OR
  • NPI 1316116189
  NPD Authorized official

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1972360121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 SW KECK DR # 211",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 NE 3RD ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284901",
            "telephone_number": "503-210-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NORTHWEST PSYCHOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "SCHMIDLKOFER",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER / PSYCHOLOGIST",
        "authorized_official_telephone_number": "503-210-5214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sienna Maria Osborne
• Osprey Alf, LLC (Vineyard Heights Assisted Living and Retirement Cottages)
• Osprey Court
• Launa Marie Ottele
• Pacific Kidney & Hypertension, LLC (Oregon Kidney & Hypertension Clinic)
• Pacific Northwest Renal Services, L.L.C. (PNRS-McMinnville Kidney Center)
• Pacifica SL McMinnville LLC (Pacifica Senior Living McMinnville)
• Roberta S Packard, RN
• Larry Allen Paddock Jr., CSFA
• Richard D Page, CHIROPRACTOR

• Clinical Psychologist in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.