SEATTLE SKILLS TRAINING PLLC (NPI# 1639737018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639737018 |
| Entity Type | Organization |
| Organization Name | SEATTLE SKILLS TRAINING PLLC |
| Practice Address |
1107 Ne 45th St Ste 200 Seattle WA 98105-4631 |
| Practice Telephone | 2068193529 |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | TRACY KALLOWAY (OWNER) |
| Authorized Official Telephone | 2068193529 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Seattle DBT Skills | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SEATTLE SKILLS TRAINING PLLC | 1107 Ne 45th St Ste 200, Seattle, WA 98105-4631 |
| Street Address |
1107 NE 45TH ST STE 200 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-4631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841611100 | Elizabeth Kilian | Counselor | 1107 Ne 45th St Ste 200, Seattle, WA 98105-4631 | 2014-01-03 |
| 1639784374 | Paradox Therapy | Counselor | 1107 Ne 45th St Ste 200, Seattle, WA 98105-4631 | 2020-09-10 |
| 1780222463 | Susan Lieberman Walker | Psychologist | 1107 Ne 45th St Ste 200, Seattle, WA 98105-4631 | 2019-12-13 |
| 1427602937 | North Seattle Dbt Pllc | Psychologist | 1107 Ne 45th St Ste 200, Seattle, WA 98105-4631 | 2019-08-01 |
| 1609337492 | Karen M Sanders | Counselor | 1107 Ne 45th St Ste 200, Seattle, WA 98105-4631 | 2019-03-26 |
| 1033507074 | Antonia E. Caliboso | Social Worker | 1107 Ne 45th St Ste 200, Seattle, WA 98105-4631 | 2014-12-29 |
| 1407253735 | Rebecca Bates | Counselor | 1107 Ne 45th St Ste 200, Seattle, WA 98105-4631 | 2014-12-02 |
| 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 |
| Find all providers in zip 98105 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730602657 | Lauren Helm | Psychologist | 1417 Nw 54th St Ste 458, Seattle, WA 98107-3564 | 2017-07-23 |
| 1326497231 | Logan Garrett Kaplan | Psychologist | 1701 Ne Columbia Rd Seattle Wa 98195, Seattle, WA 98195-0001 | 2016-06-10 |
| 1467878637 | Josh Juul | Psychologist | 6700 Roosevelt Way Ne, #a303, Seattle, WA 98115-6637 | 2014-03-12 |
| 1346475381 | Nancy Ellen Cohen | Psychologist | 216 Broadway E, Seattle, WA 98102-5776 | 2009-05-20 |
| 1205046158 | Andrea Christine Neal | Psychologist | 600 Stewart St Ste 724, Seattle, WA 98101-1227 | 2007-05-22 |
| 1518039817 | M Vicky East | Psychologist | 1530 North 115th, Suite 307, Seattle, WA 98133 | 2006-11-14 |
| 1356953186 | Christeine Terry, Ph.d., LLC | Psychologist | 509 Olive Way Ste 1360, Seattle, WA 98101-2555 | 2020-08-21 |
| 1164072260 | Aaron Parker | Psychologist | 509 Olive Way Ste 204, Seattle, WA 98101-1726 | 2019-09-19 |
| 1407344864 | Melanie Harned | Psychologist | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2018-05-01 |
| 1598150575 | Catherine Maria Caska Wallace | Psychologist | 1660 S Columbian Way # 116mhc, Seattle, WA 98108-1532 | 2015-04-06 |
| Find all providers in SEATTLE | ||||
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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.