ALDERWOOD PSYCHOLOGICAL SERVICES, INC. (NPI# 1497964027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497964027 |
| Entity Type | Organization |
| Organization Name | ALDERWOOD PSYCHOLOGICAL SERVICES, INC. |
| Practice Address |
19221 36th Ave W Suite 207 Lynnwood WA 98036-5796 |
| Practice Telephone | 4257440890 |
| Practice Fax Number | 4254821274 |
| Mailing Telephone | 4257440890 |
| Mailing Fax Number | 4254821274 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KATHLEEN MATKOSKI (PRESIDENT) |
| Authorized Official Telephone | 4257440890 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC0700X |
Psychologist Specialization: Clinical |
PY00002407 | WA | Behavioral Health & Social Service Providers |
| X | 103TC1900X |
Psychologist Specialization: Counseling |
PY00002407 | WA | Behavioral Health & Social Service Providers |
| Street Address |
19221 36TH AVE W SUITE 207 |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-5796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306917679 | William C Heusler | Psychologist | 19221 36th Ave W, Ste 208, Lynnwood, WA 98036-5795 | 2006-11-10 |
| 1528422383 | Joshua Krolikowski | Occupational Therapist | 19221 36th Ave W, Suite 101, Lynnwood, WA 98036-5796 | 2016-04-07 |
| 1427418433 | Graham Paul Foster | Occupational Therapist | 19221 36th Ave W, Suite 101, Lynnwood, WA 98036-5796 | 2016-03-03 |
| 1558731489 | Andrew Juechter | Naturopath | 19221 36th Ave W, Suite 201, Lynnwood, WA 98036-5796 | 2015-10-05 |
| 1861876245 | Helen Reilly | Occupational Therapist | 19221 36th Ave W, Ste. 101, Lynnwood, WA 98036-5796 | 2015-07-15 |
| 1740689934 | Kathryn Linn Grubbs | Counselor | 19221 36th Ave W, Suite 208, Lynnwood, WA 98036-5796 | 2014-08-14 |
| 1215234273 | Elsie Mahler Scharff | Social Worker | 19221 36th Ave W, Suite 207, Lynnwood, WA 98036-5796 | 2011-02-26 |
| 1649493727 | Kisoon Cho | Specialist | 19221 36th Ave W, Suite 210, Lynnwood, WA 98036-5796 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578886644 | Jan M Bestwick | Psychologist | 3322 164th St Sw, Lynnwood, WA 98087-3238 | 2010-03-03 |
| 1205056439 | Kathleen Mary Matkoski | Psychologist | 19221 36th Avenue W., Suite 207, Lynnwood, WA 98036 | 2007-04-30 |
| 1306919287 | Michael L Olson | Psychologist | 5108 196th St Sw Ste 208, Lynnwood, WA 98036-6152 | 2006-11-16 |
| 1306917679 | William C Heusler | Psychologist | 19221 36th Ave W, Ste 208, Lynnwood, WA 98036-5795 | 2006-11-10 |
| 1134372683 | Crystal Gray | Psychologist | 5105 200th St Sw, Suite 100, Lynnwood, WA 98036-6397 | 2008-10-28 |
| 1396920013 | Jill Elaine Rosenthal | Psychologist | 20006 Cedar Valley Rd, Suite 101, Lynnwood, WA 98036-6334 | 2007-12-31 |
| 1285722850 | Barry Franklin Moss | Psychologist | 5108 196th St Sw, Suite 102, Lynnwood, WA 98036-6152 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841442 | Jeanette Lee Chong | Psychologist | 2112 3rd Ave N Unit C, Seattle, WA 98109-2304 | 2020-11-04 |
| 1972103026 | River City Tms, Pllc | Psychologist | 400 S Jefferson St Ste 118, Spokane, WA 99204-3142 | 2020-10-28 |
| 1902411366 | Shanna Drinkwine | Psychologist | 1993 Governor Rd, Bellingham, WA 98229-3413 | 2020-09-12 |
| 1760097497 | Laetitia Geoffroy-dallery | Psychologist | 6425 S Cheyenne St, Tacoma, WA 98409-1633 | 2020-09-10 |
| 1487263711 | Tiffany Mohr | Psychologist | 927 College Ln Ne Unit B, Lacey, WA 98516-3740 | 2020-07-22 |
| 1265055172 | Dani Nierenberg Phd Bcb Pllc | Psychologist | 108 Se 124th Ave Ste 12, Vancouver, WA 98684-6015 | 2020-05-27 |
| 1295355923 | Douglas M Wear | Psychologist | 5802 16th Ave Ne, Seattle, WA 98105-2517 | 2020-04-22 |
| 1003435694 | Jared Newman Kilmer | Psychologist | 12025 115th Ave Ne Ste 215, Kirkland, WA 98034-6943 | 2020-04-13 |
| 1447887427 | Kitsap Peninsula Ocd & Anxiety Services Pllc | Psychologist | 9226 Bay Shore Dr Nw Ste 204, Silverdale, WA 98383-9196 | 2020-03-27 |
| 1790311157 | Ryan Mangum | Psychologist | 2009 F St, Vancouver, WA 98663-3345 | 2020-03-18 |
| 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.