NPIMap

Individual provider Active NPI

Brooke Alyssa Kuhnhausen, PH.D.

  • Psychologist
  • Milwaukie, OR
National Provider Identifier
1972808723
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2120 Issued in OR
Practice address
6400 SE Lake Rd
Suite 325
Milwaukie, OR 97222-2129
Phone
(503) 786-1711
Fax
(503) 786-9919
NPI assigned
Jan 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2120 OR Primary

Addresses

Primary practice location

6400 SE Lake Rd
Suite 325
Milwaukie, OR 97222-2129

Mailing address

6400 SE Lake Rd
Suite 325
Milwaukie, OR 97222-2129
Phone (503) 786-1711

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Clinical Services, Inc Past Accepting new patients
Cornerstone Clinical Services PC PastSince May 1, 2004 Accepting new patients

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": "1295913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1972808723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SE LAKE RD",
            "address_2": "SUITE 325",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222129",
            "telephone_number": "503-786-1711",
            "fax_number": "503-786-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 SE LAKE RD",
            "address_2": "SUITE 325",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222129",
            "telephone_number": "503-786-1711",
            "fax_number": "503-786-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUHNHAUSEN",
        "first_name": "BROOKE",
        "middle_name": "ALYSSA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "2120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.