ALIISA BREISCH (NPI# 1518335330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518335330 |
| Entity Type | Individual |
| Full Name | ALIISA BREISCH |
| Credential | PSY.D. |
| Practice Address |
21907 64th Ave W Suite 200 Mountlake Terrace WA 98043-2200 |
| Mailing Address |
15229 50th Ave W Edmonds WA 98026-4412 |
| Practice Telephone | 4256407009 |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY60543485 | WA | Behavioral Health & Social Service Providers |
| Street Address |
21907 64TH AVE W SUITE 200 |
| City | MOUNTLAKE TERRACE |
| State | WA |
| Zip Code | 98043-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871642777 | Karen Louise Simms | Counselor | 21907 64th Ave W, Suite 200, Mountlake Terrace, WA 98043-2200 | 2007-01-09 |
| 1245758143 | Beau Denton | Counselor | 21907 64th Ave W, Mountlake Terrace, WA 98043-2200 | 2017-08-31 |
| 1194276840 | Kaitlyn Overman | Counselor | 21907 64th Ave W, Mountlake Terrace, WA 98043-2200 | 2016-10-18 |
| 1528517257 | Mirsada Kulovac | Counselor | 21907 64th Ave W, Ste 240, Mountlake Terrace, WA 98043-2200 | 2016-09-22 |
| 1710434097 | Erin Frame | Nurse Practitioner | 21907 64th Ave W, Mountlake Terrace, WA 98043-2200 | 2016-09-05 |
| 1700246246 | Jessica Marie Flynn | Marriage & Family Therapist | 21907 64th Ave W, 200, Mountlake Terrace, WA 98043-2200 | 2016-02-25 |
| 1447651187 | Katherine Mary Charters | Counselor | 21907 64th Ave W, Suite 240, Mountlake Terrace, WA 98043-2200 | 2014-09-12 |
| 1144634817 | Skye Camphouse | Psychologist | 21907 64th Ave W, Suite 200, Mountlake Terrace, WA 98043-2200 | 2014-06-20 |
| 1649682394 | Catie Jean Wilkins | Marriage & Family Therapist | 21907 64th Ave W, Suite 240, Mountlake Terrace, WA 98043-2200 | 2014-05-29 |
| 1710317672 | Center for Human Services | Case Management | 21907 64th Ave W, Suite 240, Mountlake Terrace, WA 98043-2200 | 2013-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785357 | Maria Angelica Lopez | Counselor | 22815 Lakeview Dr Apt 'g' - 308, Mountlake Terrace, WA 98043 | 2020-06-17 |
| 1447891411 | Juana Antonia Hartley | Technician | 4808 221st St. Sw, Mountlake Terrace, WA 98043 | 2019-10-01 |
| 1437709961 | Jamil Vaughn Shoot | Acupuncturist | 21705 56th Ave W, Mount Lake Terrace, WA 98043 | 2019-09-17 |
| 1942709449 | Julie A Hill | Registered Nurse | 22001 44th Ave W, Mountlake Terrace, WA 98043 | 2018-02-09 |
| 1205285004 | Preeti Suryakumar | Occupational Therapist | 23008 56th Ave West, Vineyard Park At Mountlake Terrace, Mountlake Terrace, WA 98043 | 2016-06-13 |
| 1467819623 | Liisa Marlene Geyer | Social Worker | 6021 244th St Sw # 400, Mountlake Terrace, WA 98043 | 2016-01-19 |
| 1346611696 | Isaiah Johnson | Massage Therapist | 21604 66th Ave N, #a, Mountlake Terrace, WA 98043 | 2015-10-13 |
| 1417343260 | Sunanta Angela Astorga | Counselor | 6021 244th St Sw #400, Mountlake Terrace, WA 98043 | 2015-04-08 |
| 1366835746 | Teresa Antoinette White | Chiropractor | 6603 220th St. Sw Suite 100, Mountlake Terrace, WA 98043 | 2015-03-10 |
| 1508156647 | Monica Jean Scott | Massage Therapist | 23009-56 Ave W # B, Mountlake Terrace, WA 98043 | 2011-04-11 |
| Find all providers in zip 98043 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497897318 | Donald M Schimmel | Psychologist | 24001-56th Ave. W, Unit D404, Mountlake Terrace, WA 98043-5558 | 2007-02-14 |
| 1144634817 | Skye Camphouse | Psychologist | 21907 64th Ave W, Suite 200, Mountlake Terrace, WA 98043-2200 | 2014-06-20 |
| 1578587432 | Terry Fred Copeland | Psychologist | 6912 220th St Sw, Suite 113, Mountlake Terrace, WA 98043-2169 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726385 | Shawna Palmer | Psychologist | 16450 Se 48th Pl, Bellevue, WA 98006-5820 | 2020-09-29 |
| 1124638333 | Natalie Elyse Schwartz | Psychologist | 928 Nw 52nd St Unit A, Seattle, WA 98107-3648 | 2020-08-03 |
| 1346865938 | Rooted Psychology | Psychologist | 2109 W Dolarway Rd, Ellensburg, WA 98926-9367 | 2020-06-10 |
| 1194355149 | Hillary Schaefer | Psychologist | 10503 83rd Ave Sw, Lakewood, WA 98498-5662 | 2020-01-17 |
| 1679118434 | Huanyi Liu | Psychologist | 14910 Pacific Ave S, Tacoma, WA 98444-4657 | 2019-11-14 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1679116321 | Aspinwall Therapy and Assessment LLC | Psychologist | 2470 Westlake Ave N Ste 101, Seattle, WA 98109-2282 | 2019-10-25 |
| 1851933105 | Joshua Ireland | Psychologist | 307 W Cota St, Shelton, WA 98584-2265 | 2019-10-08 |
| 1932759842 | Kevin James Mckittrick | Psychologist | 317 M.l.k. Jr. Way, Tacoma, WA 98403-0214 | 2019-09-13 |
| 1972160265 | Ariel Larson Clinical Psychology | Psychologist | 1155 N State St Ste 316, Bellingham, WA 98225-5024 | 2019-05-22 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTLAKE TERRACE |
| Zip Code | 98043 |
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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.