WANDEE J. PRYOR, PSY.D., LLC (NPI# 1376043232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376043232 |
| Entity Type | Organization |
| Organization Name | WANDEE J. PRYOR, PSY.D., LLC |
| Other Organization Name | WANDEE J. PRYOR, PSY.D., LLC |
| Practice Address |
20174 Front St Ne Poulsbo WA 98370-7445 |
| Mailing Address |
Po Box 1611 Poulsbo WA 98370-0197 |
| Practice Telephone | 3606071141 |
| Mailing Telephone | 3606971141 |
| Enumeration Date | 2018-02-17 |
| Last Update Date | 2018-02-17 |
| Authorized Official Name | MRS. WANDEE JOHNSON PRYOR (PSYCHOLOGIST) |
| Authorized Official Telephone | 6464182652 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
PY60412791 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Wandee J. Pryor, Psy.D., LLC | Former Legal Business Name - Organization |
| Street Address |
20174 FRONT ST NE |
| City | POULSBO |
| State | WA |
| Zip Code | 98370-7445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104049568 | Elizabeth Randell Blackburn | Marriage & Family Therapist | 20174 Front St Ne, Poulsbo, WA 98370-7445 | 2007-04-11 |
| 1952750671 | Anna Magdalena Kielak | Nurse Practitioner | 20174 Front St Ne, Poulsbo, WA 98370-7445 | 2016-06-03 |
| 1992184204 | Ju-yi Fu | Counselor | 20174 Front St Ne, Poulsbo, WA 98370-7445 | 2015-05-20 |
| 1558782466 | Holly E Hulst | Marriage & Family Therapist | 20174 Front St Ne, Poulsbo, WA 98370-7445 | 2013-12-18 |
| 1891120903 | Robert Livingston Walker | Counselor | 20174 Front St Ne, Poulsbo, WA 98370-7445 | 2013-09-09 |
| 1386917078 | John W. Reynolds | Psychologist | 20174 Front St Ne, Poulsbo, WA 98370-7445 | 2012-02-12 |
| 1295013647 | Megan Elise Stine | Counselor | 20174 Front St Ne, Poulsbo, WA 98370-7445 | 2011-08-02 |
| 1689993719 | Erin Allen Brower | Counselor | 20174 Front St Ne, Poulsbo, WA 98370-7445 | 2010-05-28 |
| 1114179462 | Judith Glass Collins | Psychologist | 20174 Front St Ne, Poulsbo, WA 98370-7445 | 2008-10-17 |
| 1578711289 | Vance Pryor | Psychologist | 20174 Front St Ne, Poulsbo, WA 98370-7445 | 2008-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790324010 | Francie Corinn Edens | Massage Therapist | 225 Nw Lindvig Way Suite# 6, Poulsbo, WA 98370 | 2020-01-03 |
| 1972155679 | Marcela Serocki | Massage Therapist | 18657 Wa-305, Suite 4, Poulsbo, WA 98370 | 2019-07-12 |
| 1508425943 | Ryan Brinton | Physical Therapist | Kitsap Physical Therapy and Sports Clinics, 19319 7th Ave Ne Ste 108, Poulsbo, WA 98370 | 2019-06-10 |
| 1598220816 | Naomi Whitney Orong | Massage Therapist | 19068 Nw Jenson Way, Suite 4b, Poulsbo, WA 98370 | 2019-02-01 |
| 1043774953 | Maryanne Phillips Bellman | Physical Therapist | 442 Viewmont Ave, Poulsbo, WA 98370 | 2019-01-24 |
| 1285102293 | Andrea Sander | Registered Nurse | 19883 12th Ave Ne, Poulsbo, WA 98370 | 2018-11-07 |
| 1376038281 | Sharon Renay Christor | Nurse Practitioner | 19160 Front St. Ne, Poulsbo, WA 98370 | 2018-06-25 |
| 1700304334 | Samantha Przybylek Gavinski | Nurse Practitioner | 19500 10th Ave Ne Suite 100, Poulsbo, WA 98370 | 2017-09-04 |
| 1285164327 | Johanna Taylor | Behavior Technician | 21786 Windmill Loop Nw, Poulsbo, WA 98370 | 2017-06-12 |
| 1568990554 | Eva Geurtsen | Physical Therapy Assistant | 19160 Front St, Poulsbo, WA 98370 | 2017-06-02 |
| Find all providers in zip 98370 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271223 | Christy Webster Legler, Pmhnp-bc, Pllc | Clinic/Center | 608 S G St, Tacoma, WA 98405-4625 | 2020-10-07 |
| 1447866496 | Rogers Behavioral Health - Washington Inc | Clinic/Center | 1215 114th Ave Se, Bellevue, WA 98004-6929 | 2020-09-16 |
| 1730794421 | Reflect | Clinic/Center | 308 E Republican St Apt 701, Seattle, WA 98102-6804 | 2020-09-10 |
| 1588278394 | Makenzie Muilenburg Counseling | Clinic/Center | 271 Ne 45th St, Seattle, WA 98105-6147 | 2020-08-31 |
| 1477163160 | Columbia Valley Community Health | Clinic/Center | 504 Orondo Ave Ste A, Wenatchee, WA 98801-2830 | 2020-08-06 |
| 1972113165 | Hanmin Corporation | Clinic/Center | 4060 138th Ave Se, Bellevue, WA 98006-1431 | 2020-08-03 |
| 1801405642 | United Early Learning & Family Center LLC | Clinic/Center | 106 N Elm St, Grandview, WA 98930-1009 | 2020-07-28 |
| 1972111201 | Core Psychology Group Pllc | Clinic/Center | 6325 17th Ave Nw, Seattle, WA 98107-2320 | 2020-07-22 |
| 1114535853 | Behind The Mask Therapy | Clinic/Center | 1908 Nw 4th Ave, Battle Ground, WA 98604-6823 | 2020-07-20 |
| 1386262376 | Everwell Counseling Pllc | Clinic/Center | 306 E 18th Ave, Spokane, WA 99203-2217 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
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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.