TACOMA PSYCHOLOGY, PLLC (NPI# 1568422277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568422277 |
Entity Type | Organization |
Organization Name | TACOMA PSYCHOLOGY, PLLC |
Practice Address |
2102 N 30th St Suite B Tacoma WA 98403-3319 |
Practice Telephone | 2533830101 |
Practice Fax Number | 2533830149 |
Mailing Telephone | 2533830101 |
Mailing Fax Number | 2533830149 |
Enumeration Date | 2006-03-25 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. BRAD L BATES (OWNER) |
Authorized Official Telephone | 2533830101 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
1546 | WA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | DEPT OF LABOR & INDUSTRIE | 0207038 | 01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | TACOMA PSYCHOLOGY, PLLC | 1919 N Pearl St, Ste C2, Tacoma, WA 98406-2461 |
Street Address |
2102 N 30TH ST SUITE B |
City | TACOMA |
State | WA |
Zip Code | 98403-3319 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346388295 | Brad L Bates | Psychologist | 2102 N 30th St, Suite B, Tacoma, WA 98403-3319 | 2007-02-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336692482 | Tamara Paynter | Occupational Therapy Assistant | 15 North E Street, Apartment 38, Tacoma, WA 98403 | 2016-07-25 |
1457742280 | Zenergy Massage Clinic | Community Health Worker | 1310 N I St Suite B, Tacoma, WA 98403 | 2015-02-16 |
1205111218 | Andrew Smart | Pedorthist | 709 N. I St. Apt #3, Tacoma, WA 98403 | 2011-10-21 |
1801036694 | Louie Gabriele Hallie | Social Worker | 2205 N. 30th St., Suite B, Tacoma, WA 98403 | 2009-03-06 |
1336385897 | Colleen Anne Young | Counselor | 2622 Mccarver St., Tacoma, WA 98403 | 2009-01-05 |
1851503445 | Marilyn Delucia | Specialist | 105 Tacoma Ave N, Tacoma, WA 98403 | 2007-05-04 |
1396869855 | Charles Wayne Winchell | Massage Therapist | 722 Martin Luther King Ave., Tacoma, WA 98403 | 2007-03-19 |
1093864589 | Catholic Community Services of Western Washington | Clinic/Center | 1001 N J St, Tacoma, WA 98403 | 2007-01-10 |
1790840965 | Jonathan L Ritson | Physical Medicine & Rehabilitation | 2200 North 30th Street, Suite 201, Tacoma, WA 98403 | 2006-12-27 |
1578503157 | John C. Winskill, D.d.s., P.s. | Clinic/Center | 2215 N 30th St, Suit #104, Tacoma, WA 98403 | 2006-06-08 |
Find all providers in zip 98403 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760097497 | Laetitia Geoffroy-dallery | Psychologist | 6425 S Cheyenne St, Tacoma, WA 98409-1633 | 2020-09-10 |
1780199125 | Christopher Edwards | Psychologist | 1500 N Warner St Stop 1035, Tacoma, WA 98416-1035 | 2017-12-07 |
1184134314 | Colleen Rustad | Psychologist | 3224 6th Ave, Tacoma, WA 98406-5902 | 2017-10-02 |
1174983316 | Troy Allen Robison | Psychologist | 9600 Veterans Dr Sw # A-116atc, Tacoma, WA 98493-5000 | 2016-03-01 |
1447618053 | Llc Courage 2b | Psychologist | 1764 N James St, Tacoma, WA 98406-1508 | 2016-02-10 |
1326415472 | Sean Morrison | Psychologist | 708 Broadway Ste 170, Tacoma, WA 98402-3778 | 2015-08-25 |
1386981850 | Larry D Pruitt | Psychologist | 9933 W Hayes St Madigan Anx, Joint Base Lewis Mcchord, Tacoma, WA 98431-0001 | 2013-01-03 |
1740541945 | Quyen Bich Nguyen | Psychologist | 4301 S Pine St Ste 30-07, Tacoma, WA 98409-9123 | 2012-06-04 |
1518245679 | Christmas Covell | Psychologist | 2105 N 30th St, Tacoma, WA 98403-3318 | 2011-07-22 |
1790089001 | Maurice Patrick O'connor | Psychologist | 321 E 25th St, Tacoma, WA 98421-1300 | 2010-12-29 |
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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.