ELIJAH JOHN STRONG LOTZ


Address: 400 S 2nd St, Renton, WA 98057-2007
Phone: 4254246310

ELIJAH JOHN STRONG LOTZ (NPI# 1437542446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437542446
Entity Type Individual
Full Name ELIJAH JOHN STRONG LOTZ
Credential PH.D.
Practice Address 400 S 2nd St
Renton
WA 98057-2007
Mailing Address 955 Powell Ave Sw
Renton
WA 98057-2908
Practice Telephone 4254246310
Practice Fax Number 4252771566
Mailing Telephone 4252771311
Mailing Fax Number 4252771566
Enumeration Date 2015-03-15
Last Update Date 2020-05-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PY60764108 WA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 University of New Mexico, Msc09 5030, Albuquerque, NM 871310001 5418448485

Office Location

Street Address 400 S 2ND ST
City RENTON
State WA
Zip Code 98057-2007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093237737 Healthpoint Clinic/Center 400 S 2nd St, Renton, WA 98057-2007 2017-07-14
1396907085 Brianne N Taylor Family Medicine 400 S 2nd St, Renton, WA 98057-2007 2008-06-25
1619068970 Jeffrey W. Dassel Family Medicine 400 S 2nd St, Renton, WA 98057-2007 2006-09-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043856628 Megan Ramaiya Student in an Organized Health Care Education/Training Program King Count Sexual Assault & Resource Center, 200 Mill Ave S # 10, Renton, WA 98057 2019-11-19
1063076255 Breanne Michele Smiley Specialist/Technologist 737 Logan Ave N, Renton, WA 98057 2019-04-24
1093215063 Laura Lewis Physical Medicine & Rehabilitation 1000 Oakesdale Ave Sw Ste 100, Renton, WA 98057 2018-02-16
1437676004 Ralph William Papke Jr. Counselor Kaiser Permanente of Wa, 1200 Sw 27th St, Renton, WA 98057 2017-08-24
1487106456 Serengeti Care Partners LLC Community/Behavioral Health 707 S- Grady Way, Suite 6008, Renton, WA 98057 2016-10-26
1548716152 Phandinh Ngoc Nguyen Naturopath 330 Sw 43rd St,suite L, Renton, WA 98057 2016-09-01
1275905721 Todd R Glass Chiropractor 1024 N 10th Pl #2306, Renton, WA 98057 2015-10-23
1134595341 Have A Heart Case Management 151 Taylor Ave Nw, Renton, WA 98057 2015-08-12
1780087171 Brianne N Lefferts Physical Therapist 300 Sw 7th Street, Renton, WA 98057 2014-09-30
1588089460 Sound Association Western Washington LLC Audiologist 108 Factory Ave. N., Ste 2b, Renton, WA 98057 2014-02-28
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356906853 Baci Counseling, LLC Psychologist 3707 Smithers Ave S, Renton, WA 98055-6808 2019-05-09
1962840645 Adriana C Marti Psychologist 200 S 2nd St, Renton, WA 98057-2011 2013-06-04
1205147410 Jolene Simpson Psychologist 17650 134th Ave Se, L304, Renton, WA 98058-6889 2010-06-23
1063682516 Erica Margaret Brandling-bennett Psychologist 400 S 43rd St, Renton, WA 98055-5714 2008-03-11
1154524460 Doctor Diane, Ps Psychologist 1412 Sw 43rd St Ste 240, Renton, WA 98057-4803 2007-06-06
1295889962 William Ronald Wilkinson Psychologist 17900 Talbot Rd S, Suite 102, Renton, WA 98055-8212 2007-01-22
1467528364 Timothy Tyson Weber Psychologist 9806 Se Carr Rd, Renton, WA 98055-5813 2006-11-24
1588608426 Roger Corn Psychologist 4445 Talbot Rd S, Renton, WA 98055-6219 2006-06-14
1396789236 Susan E Demattos Psychologist 4445 Talbot Rd S, Renton, WA 98055-6219 2006-06-14
1073554671 Public Hospital District #1 of King County Psychologist 4445 Talbot Rd S, Renton, WA 98055-6219 2006-06-08
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Competitor

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City RENTON
Zip Code 98057

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Dataset Information

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.

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