CHILD PSYCHOLOGY NORTHWEST, P.S. (NPI# 1265650972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265650972 |
Entity Type | Organization |
Organization Name | CHILD PSYCHOLOGY NORTHWEST, P.S. |
Practice Address |
2150 N 107th St Suite 345, Northway East Building Seattle WA 98133-1305 |
Practice Telephone | 2063646565 |
Practice Fax Number | 2063646566 |
Mailing Telephone | 2063646565 |
Mailing Fax Number | 2063646566 |
Enumeration Date | 2007-04-20 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. DEBORAH HILL (OWNER & CLINICAL NEUROPSYCHOLOGIST) |
Authorized Official Telephone | 2063646565 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 103G00000X | Clinical Neuropsychologist | WA | Behavioral Health & Social Service Providers | |
X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
WA | Behavioral Health & Social Service Providers | |
X | 103TC0700X |
Psychologist Specialization: Clinical |
WA | Behavioral Health & Social Service Providers | |
X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
WA | Behavioral Health & Social Service Providers | |
X | 103TF0200X |
Psychologist Specialization: Forensic |
WA | Behavioral Health & Social Service Providers | |
X | 103TH0100X |
Psychologist Specialization: Health Service |
WA | Behavioral Health & Social Service Providers | |
X | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
WA | Behavioral Health & Social Service Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | CHILD PSYCHOLOGY NORTHWEST, P.S. | 2150 N 107th St, Seattle, WA 98133-1305 |
Street Address |
2150 N 107TH ST SUITE 345, NORTHWAY EAST BUILDING |
City | SEATTLE |
State | WA |
Zip Code | 98133-1305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295761328 | Sarvesh Smiley Thakur | Internal Medicine | 2150 N 107th St, Suite 520, Seattle, WA 98133-1305 | 2006-06-23 |
1568881944 | Heather Buckle | Naturopath | 2150 N 107th St, Ste 400, Seattle, WA 98133-1305 | 2014-04-14 |
1174949762 | Trilisa Madison | Naturopath | 2150 N 107th St, Suite 400, Seattle, WA 98133-1305 | 2014-03-06 |
1104173038 | Dr. Paul S. Anderson, PC | Non-Pharmacy Dispensing Site | 2150 N 107th St, Suite 400, Seattle, WA 98133-1305 | 2012-08-09 |
1548582281 | Erica Anne Shutes | Counselor | 2150 N 107th St, Suite 220, Seattle, WA 98133-1305 | 2010-02-23 |
1609102706 | Northstar Surgical Services, Pllc | Plastic Surgery | 2150 N 107th St, Suite 520, Seattle, WA 98133-1305 | 2009-10-23 |
1831353200 | Pacific Footwear Company Inc | Durable Medical Equipment & Medical Supplies | 2150 N 107th St, Suite 204, Seattle, WA 98133-1305 | 2008-07-15 |
1891991956 | Transplant and Nephrology Northwest Pllc | Internal Medicine | 2150 N 107th St, Suite 520, Seattle, WA 98133-1305 | 2007-06-25 |
1598983413 | Deborah L Hill | Clinical Neuropsychologist | 2150 N 107th St, Suite 345, Northway East Building, Seattle, WA 98133-1305 | 2007-04-23 |
1740355692 | Recovery Options Northwest, Inc | Counselor | 2150 N 107th St, Suite 200, Seattle, WA 98133-1305 | 2006-11-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
Find all providers in zip 98133 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083781348 | David Martin White | Clinical Neuropsychologist | 150 Nickerson St Ste 104, Seattle, WA 98109-1634 | 2006-11-29 |
1659482578 | Phyllis Sanchez | Clinical Neuropsychologist | 1402 3rd Ave, Ste. 624, Seattle, WA 98101-2195 | 2006-08-31 |
1003429721 | Madison Bertolin | Clinical Neuropsychologist | 415 1st Ave N Ste 200, Seattle, WA 98109-4765 | 2020-08-24 |
1437791613 | Gabrielle Alvarez | Clinical Neuropsychologist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2019-10-09 |
1114456035 | Nickolas Arion Dasher | Clinical Neuropsychologist | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2017-06-05 |
1255787701 | Alan R. Breen, Phd, Pllc | Clinical Neuropsychologist | 411 12th Ave, Ste 305, Seattle, WA 98122 | 2016-05-13 |
1285011783 | Natalia Kleinhans | Clinical Neuropsychologist | 325 9th Ave, Box 357115, Seattle, WA 98104-2420 | 2015-05-04 |
1801209986 | Katherine S Bowen | Clinical Neuropsychologist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2014-06-06 |
1871843680 | Sarah K. Noonan | Clinical Neuropsychologist | 1660 S Columbian Way, Rcs-117, Seattle, WA 98108-1532 | 2012-09-19 |
1205129210 | Kenneth L Kassover | Clinical Neuropsychologist | 4300 Aurora Ave N, Suite 100, Seattle, WA 98103-7379 | 2011-05-24 |
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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.