AUTHENTIC TRANSFORMATIONS LLC (NPI# 1053855734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053855734 |
| Entity Type | Organization |
| Organization Name | AUTHENTIC TRANSFORMATIONS LLC |
| Practice Address |
1112 11th St Ste 301 Bellingham WA 98225-6654 |
| Mailing Address |
3617 Westhills Pl Bellingham WA 98226-4174 |
| Practice Telephone | 3602257073 |
| Mailing Telephone | 4802775919 |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2016-12-14 |
| Authorized Official Name | DR. MARCEL ANTHONY VAN EERD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4802775919 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY60611766 | WA | Behavioral Health & Social Service Providers |
| Street Address |
1112 11TH ST STE 301 |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98225-6654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831236033 | Susan M Hakeman | Psychiatry & Neurology | 1112 11th St Ste 301, Bellingham, WA 98225-6654 | 2007-01-30 |
| 1760798649 | Heather Elecia Helzer | Psychiatry & Neurology | 1112 11th St Ste 301, Bellingham, WA 98225-6654 | 2010-08-30 |
| 1689712374 | Corinne Gimbel-levine | Registered Nurse | 1112 11th St Ste 301, Bellingham, WA 98225-6654 | 2007-02-02 |
| 1528105343 | Christine W Parkes | Counselor | 1112 11th St Ste 301, Bellingham, WA 98225-6654 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578183729 | Family Care Network Pllc | Clinic/Center | 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 | 2020-04-17 |
| 1770129264 | Ariella K Ross | Massage Therapist | 2701 Northwest Avenue, Bellingham, WA 98225 | 2019-11-20 |
| 1467006205 | Family Care Network, Pllc | Family Medicine | 805 W. Orchard Drive, Suite 6, Bellingham, WA 98225 | 2019-07-30 |
| 1487110375 | Rhonda Beth Steel | Massage Therapist | Fairhaven Harbor, 1310 9th Street Penthouse No. 504, Fairhaven/bellingham, WA 98225 | 2019-02-15 |
| 1366915316 | Alexander Knight Acupuncture Inc | Acupuncturist | 12 Bellwether Way, Suite 201, Bellingham, WA 98225 | 2019-01-02 |
| 1902372998 | Northwest Telepsychiatry, Pllc | Psychiatry & Neurology | 114 W. Magnolia St., Suite 505, Bellingham, WA 98225 | 2018-10-17 |
| 1639650336 | Jennifer Sue Cogen | Massage Therapist | 2701 Northwest Ave. (ohana Pacific, Inc.), Bellingham, WA 98225 | 2018-08-22 |
| 1013414036 | Tamara C Dee | Social Worker | 1313 E Maple St Ste 229, Bellingham, WA 98225 | 2018-04-06 |
| 1417468596 | Samantha Grace Smith | Counselor | 920 Harris Avenue, 202-e, Bellingham, WA 98225 | 2017-10-17 |
| 1710406731 | Shalom Maria Shreve | Counselor | 1133 Railroad Ave., Suite 100, Bellingham, WA 98225 | 2017-09-11 |
| Find all providers in zip 98225 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972160265 | Ariel Larson Clinical Psychology | Psychologist | 1155 N State St Ste 316, Bellingham, WA 98225-5024 | 2019-05-22 |
| 1639507205 | Veltkamp Neuropsychology | Psychologist | 192 E Bakerview Rd Ste 102, Bellingham, WA 98226-8179 | 2013-10-17 |
| 1982841755 | Roxanne Moore | Psychologist | 1313 E Maple St Ste 210, Bellingham, WA 98225 | 2009-01-14 |
| 1467600874 | Lind Psychological Services Inc | Psychologist | 1112 11th St, 301, Bellingham, WA 98225-6654 | 2008-08-28 |
| 1851509418 | Melody G. Rhode | Psychologist | 1110 Larrabee Ave, #210, Bellingham, WA 98225-7302 | 2007-05-18 |
| 1023223419 | Patricia A Marek | Psychologist | 1201 11th Street Suite 201, Bellingham, WA 98225-7065 | 2007-05-11 |
| 1215074034 | Ellen Walker | Psychologist | 1201 13th Street, Suite 102, Bellingham, WA 98225 | 2007-01-31 |
| 1134285968 | Nina Ida Marie Spadaro | Psychologist | 4945 Mission Rd, Bellingham, WA 98226-9528 | 2006-12-28 |
| 1417020561 | Kathryn J Fentress | Psychologist | 5007 Samish Way, Bellingham, WA 98229-8917 | 2006-11-16 |
| 1235231937 | Richard Spitzer | Psychologist | 1106 Harris Ave, Suite 209, Bellingham, WA 98225 | 2006-09-02 |
| Find all providers in BELLINGHAM | ||||
| City | BELLINGHAM |
| Zip Code | 98225 |
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| 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.