DANI NIERENBERG PHD BCB PLLC (NPI# 1265055172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265055172 |
| Entity Type | Organization |
| Organization Name | DANI NIERENBERG PHD BCB PLLC |
| Practice Address |
108 Se 124th Ave Ste 12 Vancouver WA 98684-6015 |
| Mailing Address |
850 Nw View Ridge Ct Camas WA 98607-9051 |
| Practice Telephone | 3607138171 |
| Practice Fax Number | 3602104039 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |
| Authorized Official Name | DANI NIERENBERG (OWNER) |
| Authorized Official Telephone | 3607138171 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
108 SE 124TH AVE STE 12 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-6015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
| Find all providers in zip 98684 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790311157 | Ryan Mangum | Psychologist | 2009 F St, Vancouver, WA 98663-3345 | 2020-03-18 |
| 1790217578 | Allison Rose Chambers-dixson | Psychologist | 750 Officers Row, Vancouver, WA 98661-3845 | 2017-03-30 |
| 1225408941 | Peter Weiss | Psychologist | 237 Ne Chkalov Dr Ste 118, Vancouver, WA 98684-5054 | 2015-10-07 |
| 1912281254 | Linda Lee | Psychologist | 13220 Nw 33rd Ave, Vancouver, WA 98685-2288 | 2011-10-05 |
| 1215241781 | Chrystal Joy Agnor | Psychologist | 10708 Ne 90th Ct, Vancouver, WA 98662-1455 | 2010-07-27 |
| 1093040743 | Gregory Allen May | Psychologist | 400 E Evergreen Blvd Ste 209, Vancouver, WA 98660-3264 | 2009-10-14 |
| 1780826289 | Kelly Ross Fielding | Psychologist | 201 E 19th St, Vancouver, WA 98663-3301 | 2009-03-30 |
| 1174764732 | Cecilia M Dominguez | Psychologist | 2101 Ne 139th St Ste 265, Vancouver, WA 98686-2311 | 2009-03-11 |
| 1265684765 | Gary Seeman | Psychologist | 9901 Ne 7th Ave Ste B231, Vancouver, WA 98685-4538 | 2008-10-15 |
| 1548411275 | Gretchen C Lemmon | Psychologist | 1104 Main St Ste 550a, Vancouver, WA 98660-2955 | 2008-09-30 |
| Find all providers in VANCOUVER | ||||
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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.