DR. KEVIN JAMES MCKITTRICK (NPI# 1932759842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932759842 |
| Entity Type | Individual |
| Full Name | DR. KEVIN JAMES MCKITTRICK |
| Credential | PSYD |
| Practice Address |
317 M.l.k. Jr. Way Tacoma WA 98403-0214 |
| Mailing Address |
250 Kennedy Dr Malden MA 02148-3326 |
| Practice Telephone | 7814206815 |
| Mailing Telephone | 7814206815 |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PY.60967347 | WA | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PY60967347 | WA | Behavioral Health & Social Service Providers |
| Street Address |
317 M.L.K. JR. WAY |
| City | TACOMA |
| State | WA |
| Zip Code | 98403-0214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336692482 | Tamara Paynter | Occupational Therapy Assistant | 15 North E Street, Apartment 38, Tacoma, WA 98403 | 2016-07-25 |
| 1457742280 | Zenergy Massage Clinic | Community Health Worker | 1310 N I St Suite B, Tacoma, WA 98403 | 2015-02-16 |
| 1205111218 | Andrew Smart | Pedorthist | 709 N. I St. Apt #3, Tacoma, WA 98403 | 2011-10-21 |
| 1801036694 | Louie Gabriele Hallie | Social Worker | 2205 N. 30th St., Suite B, Tacoma, WA 98403 | 2009-03-06 |
| 1336385897 | Colleen Anne Young | Counselor | 2622 Mccarver St., Tacoma, WA 98403 | 2009-01-05 |
| 1851503445 | Marilyn Delucia | Specialist | 105 Tacoma Ave N, Tacoma, WA 98403 | 2007-05-04 |
| 1396869855 | Charles Wayne Winchell | Massage Therapist | 722 Martin Luther King Ave., Tacoma, WA 98403 | 2007-03-19 |
| 1093864589 | Catholic Community Services of Western Washington | Clinic/Center | 1001 N J St, Tacoma, WA 98403 | 2007-01-10 |
| 1790840965 | Jonathan L Ritson | Physical Medicine & Rehabilitation | 2200 North 30th Street, Suite 201, Tacoma, WA 98403 | 2006-12-27 |
| 1578503157 | John C. Winskill, D.d.s., P.s. | Clinic/Center | 2215 N 30th St, Suit #104, Tacoma, WA 98403 | 2006-06-08 |
| Find all providers in zip 98403 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962588616 | Kenneth A Miles | Psychologist | Madigan Army Medical Center Attn: Kenneth A Miles, Ph.d, 9040 Jackson Ave, Tacoma, WA 98431 | 2006-10-27 |
| 1477194173 | Isabelle Oh | Psychologist | 1220 Division Ave, Tacoma, WA 98403-1321 | 2019-10-03 |
| 1811225584 | Diana Marie Frey | Psychologist | 9040 Jackson Ave, Tacoma, WA 98431 | 2009-11-18 |
| 1134349616 | Rebekah A Cline | Psychologist | 1530 S Union Ave, Suite 16, Tacoma, WA 98405-1954 | 2007-04-26 |
| 1265560106 | Allison Mckinzie Osborn | Psychologist | 1530 S Union Ave Ste 1, Tacoma, WA 98405-1954 | 2007-03-01 |
| 1649326554 | Barry Stuart Anton | Psychologist | 5909 Orchard St W, Tacoma, WA 98467-3824 | 2007-01-25 |
| 1710039631 | Bradley I. Steinfeld | Psychologist | 4301 S Pine St, Ste 301, Tacoma, WA 98409-7264 | 2007-01-18 |
| 1134169261 | Elizabeth Mae Anderson | Psychologist | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-4816 | 2006-06-07 |
| 1407824386 | Steven Charles Parkison | Psychologist | Madigan Army Medical Center, 9040 A. Fitzsimmons Dr., Tacoma, WA 98431-0001 | 2006-03-08 |
| 1386611606 | Monica M Van Hoomissen | Psychologist | 1530 S Union Ave, Suite 8, Tacoma, WA 98405-1954 | 2006-03-06 |
| Find all providers in TACOMA | ||||
Please comment or provide details below to improve the information on DR. KEVIN JAMES MCKITTRICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.