DR. JILL JACQUELINE LOCKE (NPI# 1609485242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609485242 |
| Entity Type | Individual |
| Full Name | DR. JILL JACQUELINE LOCKE |
| Credential | PHD |
| Practice Address |
4909 25th Ave Ne Seattle WA 98105-4107 |
| Mailing Address |
5526 34th Ave Ne Seattle WA 98105-2305 |
| Practice Telephone | 2069878080 |
| Mailing Telephone | 8183843554 |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 60919089 | WA | Behavioral Health & Social Service Providers |
| Street Address |
4909 25TH AVE NE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215952288 | Soo-jeong Kim | Psychiatry & Neurology | 4909 25th Ave Ne, Seattle Childrens Autism Center, Seattle, WA 98105-4107 | 2006-07-12 |
| 1043717606 | Elizabeth Hatzenbuhler | Behavioral Analyst | 4909 25th Ave Ne, Seattle, WA 98105-4107 | 2018-04-10 |
| 1730604026 | Katelyn Cotter | Nurse Practitioner | 4909 25th Ave Ne, Seattle, WA 98105-4107 | 2017-08-07 |
| 1083141253 | Blayne D Stemple | Behavioral Analyst | 4909 25th Ave Ne, Seattle, WA 98105-4107 | 2017-05-17 |
| 1295106813 | Molly Ewbank | Counselor | 4909 25th Ave Ne, Seattle, WA 98105-4107 | 2015-10-08 |
| 1568833184 | Kelley Cade | Counselor | 4909 25th Ave Ne, Suite 120, Seattle, WA 98105-4107 | 2015-10-08 |
| 1114398872 | Seattle Children's Hospital | Counselor | 4909 25th Ave Ne, Seattle, WA 98105-4107 | 2015-10-07 |
| 1467828772 | Tara Godinho | Behavioral Analyst | 4909 25th Ave Ne, Suite 120, Seattle, WA 98105-4107 | 2015-08-20 |
| 1386050748 | Eunice Barron | Behavioral Analyst | 4909 25th Ave Ne, Seattle, WA 98105-4107 | 2014-07-07 |
| 1144660788 | Coleen Mary Gilchrist | Occupational Therapist | 4909 25th Ave Ne, Suite 200, Seattle, WA 98105-4107 | 2013-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
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| 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 |
|---|---|---|---|---|
| 1124638333 | Natalie Elyse Schwartz | Psychologist | 928 Nw 52nd St Unit A, Seattle, WA 98107-3648 | 2020-08-03 |
| 1679116321 | Aspinwall Therapy and Assessment LLC | Psychologist | 2470 Westlake Ave N Ste 101, Seattle, WA 98109-2282 | 2019-10-25 |
| 1285299354 | Herlina Pranata | Psychologist | 1565 Cherrylane Ave S, Seattle, WA 98144-3521 | 2019-05-04 |
| 1083184550 | Robert A Beattey Jr. | Psychologist | 910 10th Ave E Apt 205, Seattle, WA 98102-4556 | 2018-11-27 |
| 1912492828 | One Medical Group of Washington, P.C. | Psychologist | 625 Boren Avenue North, Seattle, WA 98109 | 2018-06-25 |
| 1497263859 | Leah Boisen | Psychologist | 226 Summit Ave E Ste 203, Seattle, WA 98102-5619 | 2018-01-18 |
| 1578073649 | Michelle A Proulx | Psychologist | 614 W Mcgraw St # 202, Seattle, WA 98119-2888 | 2017-10-03 |
| 1225553159 | Jennifer Chain | Psychologist | 5306 Ballard Ave Nw Ste 212, Seattle, WA 98107 | 2017-08-11 |
| 1427571652 | Cory David Secrist | Psychologist | 1417 Nw 54th St Ste 372, Seattle, WA 98107-3575 | 2017-07-19 |
| 1215464953 | Natalie Goodwin | Psychologist | 1127 10th Ave E Ste 2, Seattle, WA 98102-4377 | 2017-05-12 |
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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.