DR. HEIDI M VANDER POL (NPI# 1700866936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700866936 |
| Entity Type | Individual |
| Full Name | DR. HEIDI M VANDER POL |
| Credential | PSYD |
| Practice Address |
5825 221st Pl Se Suite # 201 Issaquah WA 98027-8927 |
| Mailing Address |
16040 Christensen Rd Suite #212 Riverview Plaza Tukwila WA 98188-2934 |
| Practice Telephone | 2062193139 |
| Practice Fax Number | 2064315430 |
| Mailing Telephone | 2062193139 |
| Mailing Fax Number | 2064315430 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY00003123 | WA | Behavioral Health & Social Service Providers |
| Street Address |
5825 221ST PL SE SUITE # 201 |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98027-8927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093192536 | Two Sisters Dc LLC | Health Maintenance Organization | 5825 221st Pl Se, Suite 103, Issaquah, WA 98027-8927 | 2015-05-05 |
| 1255721742 | Lindsey Ann Dinicola | Chiropractor | 5825 221st Pl Se, #103, Issaquah, WA 98027-8927 | 2015-02-04 |
| 1841626017 | Adrienne Marie Dinicola | Chiropractor | 5825 221st Pl Se, #103, Issaquah, WA 98027-8927 | 2013-09-19 |
| 1285992974 | Integrated Rehab Group Limited Partnership | Physical Therapist | 5825 221st Pl Se, #208, Issaquah, WA 98027-8927 | 2012-05-01 |
| 1962799841 | Oleg A Shvartsur | Dentist | 5825 221st Pl Se, Suite #101, Issaquah, WA 98027-8927 | 2011-06-29 |
| 1659663888 | Issaquah Natural Medicine, Inc | Naturopath | 5825 221st Pl Se, Suite 207, Issaquah, WA 98027-8927 | 2011-05-05 |
| 1083943245 | Integrated Rehabilitation Group PC | Clinic/Center | 5825 221st Pl Se, Suite 208, Issaquah, WA 98027-8927 | 2009-12-17 |
| 1407092869 | Katja Violet Magus | Naturopath | 5825 221st Pl Se, Suite 204, Issaquah, WA 98027-8927 | 2009-01-06 |
| 1497936892 | Squak Mountain Physical Therapy, Inc. | Clinic/Center | 5825 221st Pl Se, Ste 206, Issaquah, WA 98027-8927 | 2007-11-14 |
| 1932393956 | Kreidel Therapeutic Massage | Massage Therapist | 5825 221st Pl Se, Ste 103, Issaquah, WA 98027-8927 | 2007-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281840 | Cascade Hand & Orthopedic Rehab, Inc. | Clinic/Center | 1301 4th Avenue Nw, Suite 200, Issaquah, WA 98027 | 2020-10-01 |
| 1700494630 | Genevieve S Ward | Counselor | 22500 Se 64th Place, Building G, Suite 150, Issaquah, WA 98027 | 2020-07-16 |
| 1891338604 | Amy Mezulis | Psychologist | 1740 Nw Maple St. #210, Issaquah, WA 98027 | 2019-10-24 |
| 1578055083 | Vivian Yu-en Hsiao | Physical Therapist | 1301 4th Ave Nw Ste 300, Issaquah, WA 98027 | 2018-05-31 |
| 1831698000 | Peter James Carlson | Physical Therapist | 22500 Se 64th Place, Building G, Suite 115, Issaquah, WA 98027 | 2018-02-02 |
| 1902323553 | David Robert Primrose | Dentist | 600 Nw Gilman Blvd Ste B, Issaquah, WA 98027 | 2017-08-24 |
| 1083135446 | Tara Rose | Massage Therapist | 680 Nw Gilman Blvd., Ste. A, Issaquah, WA 98027 | 2017-07-06 |
| 1295276194 | Amy Davenport | Occupational Therapist | 1871 Nw Gilman Blvd #2, Issaquah, WA 98027 | 2017-03-13 |
| 1942751771 | Krista L Gibbons | Counselor | 1700 Nw Blvd, Suite #200, Issaquah, WA 98027 | 2016-10-17 |
| 1376903237 | Kari Wathen Torres | Occupational Therapist | 710 Nw Juniper St Ste 100, Issaquah, WA 98027 | 2016-03-03 |
| Find all providers in zip 98027 | ||||
| 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 |
|---|---|---|---|---|
| 1669881348 | Lisa Kristine Criswell | Psychologist | 75 Nw Dogwood Street, Suite B, Issaquah, WA 98027 | 2014-08-07 |
| 1427388560 | Sheila Adams Hart | Psychologist | 5837 221st Pl. S.e., Issaquah, WA 98027-8917 | 2010-01-13 |
| 1184817298 | Edward Wren Hudgins II | Psychologist | 25803 Se 138th St, Issaquah, WA 98027-6758 | 2007-08-22 |
| 1548363872 | Donna Marie Von Bargen | Psychologist | 310 Third Ave Ne, Suite 123, Issaquah, WA 98027 | 2006-09-05 |
| 1699755561 | Mary Josephine Hendrickson | Psychologist | 5825 221st Place Se, Ste 201, Issaquah, WA 98027 | 2006-01-18 |
| 1588115778 | Colin Smith | Psychologist | 1740 Nw Maple St, Ste 210, Issaquah, WA 98027-8127 | 2016-10-22 |
| 1073839627 | Christina Lynn Diamonti | Psychologist | 1700 Nw Gilman Blvd, Suite 205, Issaquah, WA 98027-5349 | 2010-04-07 |
| 1497085518 | Tonya L Comstock | Psychologist | 1740 Nw Maple St, Ste 111, Issaquah, WA 98027 | 2010-01-12 |
| 1851523369 | Eastside Family Institute | Psychologist | 1700 Nw Gilman Blvd Ste 205, Issaquah, WA 98027-5364 | 2009-08-17 |
| 1639316896 | Nicole R R Josephsen | Psychologist | 1700 Nw Gilman Blvd Ste 205, Issaquah, WA 98027-5349 | 2009-01-09 |
| Find all providers in ISSAQUAH | ||||
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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.