DR. SUZANNE FAIRBROTHER (NPI# 1215142203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215142203 |
| Entity Type | Individual |
| Full Name | DR. SUZANNE FAIRBROTHER |
| Credential | PH.D. |
| Practice Address |
9144 Burnett Rd Se Ste B4 Yelm WA 98597-8488 |
| Mailing Address |
Po Box 779 Yelm WA 98597-0779 |
| Practice Telephone | 3604003688 |
| Practice Fax Number | 3608947904 |
| Mailing Telephone | 3604003688 |
| Mailing Fax Number | 3608947904 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2015-11-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY0001848 | WA | Behavioral Health & Social Service Providers |
| Street Address |
9144 BURNETT RD SE STE B4 |
| City | YELM |
| State | WA |
| Zip Code | 98597-8488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396754313 | Crystal Martin | Chiropractor | 9144 Burnett Rd Se, Suite B1 and B2, Yelm, WA 98597-8488 | 2006-08-07 |
| 1154863157 | Waterfalls Longevity Center Pllc | Obstetrics & Gynecology | 9144 Burnett Rd Se, Ste B-3, Yelm, WA 98597-8488 | 2016-11-08 |
| 1649499310 | Ann E Fain | Massage Therapist | 9144 Burnett Rd Se, Yelm, WA 98597-8488 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538652888 | Michael Nathan Steim | Dentist | 504 Yelm Avenue West, Yelm, WA 98597 | 2018-06-12 |
| 1457854549 | Ursula Schanne | Massage Therapist | 10501 Creek St Se Ste 7, Yelm, WA 98597 | 2018-03-14 |
| 1215449079 | Kaylee Jean Cook | Occupational Therapy Assistant | 107 1st Street Ne, Yelm, WA 98597 | 2017-11-01 |
| 1740705615 | Heather Anne Ervine | Physical Therapy Assistant | 14809 89th Ave Se, Yelm, WA 98597 | 2017-08-11 |
| 1679014559 | Beverly Dunford | Massage Therapist | 404 1st St S Ste. H, Yelm, WA 98597 | 2017-03-13 |
| 1740735158 | Amanda Kroboth | Speech-Language Pathologist | 16535 110th Ave Se, Yelm, WA 98597 | 2016-08-16 |
| 1134587090 | Lopaka Thanh Son Los Banos | Massage Therapist | 35617 Wa-507, Yelm, WA 98597 | 2016-02-08 |
| 1629472816 | Michelle Louise Punzel | Registered Nurse | 202 Stevens Ave Nw, Yelm, WA 98597 | 2014-10-16 |
| 1386074581 | Bobbi J Ashley | Counselor | 202 Cullens Rd, Yelm, WA 98597 | 2013-11-25 |
| 1295008100 | Trina Baggett | Doula | 21618 N Clearlake Blvd Se, Yelm, WA 98597 | 2012-02-23 |
| Find all providers in zip 98597 | ||||
| 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] |
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| 1124638333 | Natalie Elyse Schwartz | Psychologist | 928 Nw 52nd St Unit A, Seattle, WA 98107-3648 | 2020-08-03 |
| 1346865938 | Rooted Psychology | Psychologist | 2109 W Dolarway Rd, Ellensburg, WA 98926-9367 | 2020-06-10 |
| 1194355149 | Hillary Schaefer | Psychologist | 10503 83rd Ave Sw, Lakewood, WA 98498-5662 | 2020-01-17 |
| 1679118434 | Huanyi Liu | Psychologist | 14910 Pacific Ave S, Tacoma, WA 98444-4657 | 2019-11-14 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1679116321 | Aspinwall Therapy and Assessment LLC | Psychologist | 2470 Westlake Ave N Ste 101, Seattle, WA 98109-2282 | 2019-10-25 |
| 1851933105 | Joshua Ireland | Psychologist | 307 W Cota St, Shelton, WA 98584-2265 | 2019-10-08 |
| 1932759842 | Kevin James Mckittrick | Psychologist | 317 M.l.k. Jr. Way, Tacoma, WA 98403-0214 | 2019-09-13 |
| 1972160265 | Ariel Larson Clinical Psychology | Psychologist | 1155 N State St Ste 316, Bellingham, WA 98225-5024 | 2019-05-22 |
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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.