IndividualActive
Kathryn Staats, SUDPT
NPI 1689272395 · Addiction (Substance Use Disorder) Psychologist · Raymond, WA
Provider details
- NPI number
- 1689272395
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) PsychologistBehavioral Health & Social Service Providers
- Credential
- SUDPT
- Sex
- Female
- Sole proprietor
- No
- License
- CO61112455 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1016 Commercial St
Raymond, WA 98577-2631
Phone: (341) 536-0942
Street-level locationGet directions
Mailing address
1016 Commercial St
Raymond, WA 98577-2631
Registry dates
- Enumerated
- 2020-10-14
- Last updated
- 2020-10-14
- Certified
- 2020-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.