KIDO PSYCHOLOGICAL SERVICES PS
NPI 1205152949
Community/Behavioral Health in Vancouver, WA

Active since April 19, 2010
9013 NE HIGHWAY 99 STE R, VANCOUVER, WA 98665(360) 773-9121(360) 314-4051 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kido Psychological Services Ps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIDO PSYCHOLOGICAL SERVICES PS (NPI 1205152949) is a healthcare organization registered as a community/behavioral health in Vancouver, Washington and active in the NPI registry since April 2010. The organization lists Donna J Johns, President, as its authorized official.

NPPES Registry Identity

NPI1205152949
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameKIDO PSYCHOLOGICAL SERVICES PS
Location Address9013 NE HIGHWAY 99 STE RVancouver, WA 98665-8943
Mailing Address9013 Ne Highway 99 Ste RVancouver, WA 98665-8943 · (360) 773-9121 · Fax (360) 314-4051
Fax(360) 314-4051
Organization SubpartNo
Authorized OfficialDonna J JohnsPresident · (360) 608-9311
Enumeration DateApril 19, 2010
Last NPPES UpdateNovember 4, 2024
NPPES CertifiedNovember 4, 2024
✔ NPI 1205152949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Licenses✔ Licensed in WA · PY60015408✔ Licensed in OR · 1936
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
9013 NE HIGHWAY 99 STE R, Vancouver, WA 98665

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kido Psychological Services Ps is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kido Psychological Services Ps, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1710142377
9013 NE HIGHWAY 99 STE R
Vancouver, WA 98665
(360) 773-9121
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kido Psychological Services Ps's NPI number?

The NPI number for Kido Psychological Services Ps is 1205152949. It was assigned to this organization in the NPPES registry on April 19, 2010.

Where is Kido Psychological Services Ps located?

Kido Psychological Services Ps is located at 9013 NE Highway 99 Ste R, Vancouver, WA 98665. The listed phone number is (360) 773-9121.

What is Kido Psychological Services Ps's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Kido Psychological Services Ps enrolled in Medicare?

Yes. Kido Psychological Services Ps is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kido Psychological Services Ps?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Kido Psychological Services Ps. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kido Psychological Services Ps accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kido Psychological Services Ps as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kido Psychological Services Ps was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.