SENIOR CONNECTIONS PSYCHIATRY PLLC. (NPI# 1174158125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174158125 |
Entity Type | Organization |
Organization Name | SENIOR CONNECTIONS PSYCHIATRY PLLC. |
Practice Address |
9340 Ne 76th St Vancouver WA 98662-3721 |
Practice Telephone | 3602534912 |
Mailing Telephone | 3602534912 |
Enumeration Date | 2020-03-10 |
Last Update Date | 2020-03-10 |
Authorized Official Name | DAVID W AGNOR (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 3602534912 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
Senior Connections Psychiatry, PLLC. | Former Legal Business Name - Organization |
Street Address |
9340 NE 76TH ST |
City | VANCOUVER |
State | WA |
Zip Code | 98662-3721 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518929470 | David W Agnor Phd PC | Psychologist | 9340 Ne 76th St, Vancouver, WA 98662-3721 | 2006-04-05 |
1386297810 | Laura Anne Farley | Psychologist | 9340 Ne 76th St, Vancouver, WA 98662-3721 | 2019-07-23 |
1619496171 | Margarita O Ashirova Lewis | Psychologist | 9340 Ne 76th St, Vancouver, WA 98662-3721 | 2017-09-15 |
1184166365 | Kazuyo Asada | Psychologist | 9340 Ne 76th St, Vancouver, WA 98662 | 2016-11-05 |
1184173023 | Melinda Bale | Psychologist | 9340 Ne 76th St, Vancouver, WA 98662-3721 | 2016-10-03 |
1053769844 | Puget Sound Senior Psychology, LLC | Custodial Care Facility | 9340 Ne 76th St, Vancouver, WA 98662-3721 | 2016-06-02 |
1750739595 | Nancy B Corbin | Psychologist | 9340 Ne 76th St, Vancouver, WA 98662-3721 | 2016-06-02 |
1629422175 | Marc Parker | Psychologist | 9340 Ne 76th St, Vancouver, WA 98662-3721 | 2016-04-21 |
1396101580 | Puget Sound Senior Psychology LLC | Skilled Nursing Facility | 9340 Ne 76th St, Vancouver, WA 98662-3721 | 2016-01-05 |
1720472426 | Norman Gustavson | Psychologist | 9340 Ne 76th St, Vancouver, WA 98662-3721 | 2015-03-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861024911 | Hillary Ann Devore | Behavior Technician | 9414 Ne Fouth Plain Road, Vancouver, WA 98662 | 2020-02-06 |
1073091781 | Jessica Edit Villasenor | Social Worker | 9800 Ne Oakview Dr, Vancouver, WA 98662 | 2018-08-03 |
1568991123 | Preferred Rx Pharmacy Inc | Pharmacy | 10303 Ne Fourth Plain Blvd Ste 109, Vancouver, WA 98662 | 2017-06-07 |
1982058814 | Nw Interventional Medicine and Orthopedic Rehab Pllc | Physician Assistant | 11802 Ne 65th St., Vancouver, WA 98662 | 2016-04-18 |
1942685664 | Silpa Nekkalapudi | Dentist | 11504 Ne 119th St, Suite 100, Vancouver, WA 98662 | 2015-07-23 |
1528468261 | Lidiya Chepa | Pharmacist | 14505 Ne Fourth Plain Boulevard, Vancouver, WA 98662 | 2014-08-29 |
1962827030 | Vanessa Wulff | Chiropractor | 6405 Ne 116th Ave Ste 106, Vancouver, WA 98662 | 2014-02-26 |
1326484080 | Precious Jewel Adult Family Home | Custodial Care Facility | 9707 Ne 115th Ct, Vancouver, WA 98662 | 2013-05-21 |
1457698466 | Elise C Jones | Counselor | 4400 Ne 77th Ave., Suite 275, Vancouver, WA 98662 | 2013-01-10 |
1396096103 | At Home Sleep Solutions | Clinic/Center | 9330 Ne Vancouver Mall Dr., Suite 202, Vancouver, WA 98662 | 2012-09-20 |
Find all providers in zip 98662 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417423989 | Magnolia Psychiatric Services Pllc | Nurse Practitioner | 10000 Ne 7th Ave Ste 330f, Vancouver, WA 98685-4561 | 2018-10-22 |
1811408297 | Tms Nw Pllc | Nurse Practitioner | 5512 Ne 109th Ct Ste N, Vancouver, WA 98662-6175 | 2017-10-12 |
1164967246 | Ashley Leinani Bolan | Nurse Practitioner | 601 E 22nd St Ste C, Vancouver, WA 98663-3208 | 2016-12-28 |
1023455938 | Adina D Tarpley | Nurse Practitioner | 7210 Ne 14th Ct, Vancouver, WA 98665-0415 | 2013-05-31 |
1346428125 | Richard Stuart Keyser | Nurse Practitioner | 3305 Main St Ste 201, Vancouver, WA 98663-2250 | 2008-02-04 |
1407981095 | Kim L Carnahan Lewis | Nurse Practitioner | 1601 E Fourth Plain Blvd Bldg 17, Suite B222, Vancouver, WA 98661-3753 | 2007-02-22 |
1750318788 | Susan S. Rose | Nurse Practitioner | Legacy Salmon Creek Providers, 2211 Ne 139th Street, Vancouver, WA 98686-2742 | 2006-06-26 |
1073572269 | Julie A Dewitt-kamada | Nurse Practitioner | 3208 Ne 141st St, Vancouver, WA 98686-2260 | 2006-03-17 |
1821073081 | Janet Nickolaus | Nurse Practitioner | 2300 E Mill Plain Blvd, Vancouver, WA 98661-4332 | 2005-12-09 |
1285233627 | Kristy Hosley | Nurse Practitioner | 5512 Ne 109th Ct Ste I, Vancouver, WA 98662-6175 | 2020-10-17 |
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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.