FITZGERALD PSYCHOLOGICAL SERVICES, P.S. (NPI# 1710322755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710322755 |
| Entity Type | Organization |
| Organization Name | FITZGERALD PSYCHOLOGICAL SERVICES, P.S. |
| Practice Address |
629 6th St Clarkston WA 99403-2010 |
| Practice Telephone | 5097589698 |
| Practice Fax Number | 5097589664 |
| Mailing Telephone | 5097589698 |
| Mailing Fax Number | 5097589664 |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-05-03 |
| Authorized Official Name | DR. JAROD JOHN FITZGERALD (LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 5097589698 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
629 6TH ST |
| City | CLARKSTON |
| State | WA |
| Zip Code | 99403-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477690576 | Jarod John Fitzgerald | Psychologist | 629 6th St, Clarkston, WA 99403-2010 | 2007-01-30 |
| 1447726906 | Shari Reiter | Counselor | 629 6th St, Clarkston, WA 99403-2010 | 2018-10-22 |
| 1689154809 | Rebecca Ann Lindsey | Psychologist | 629 6th St, Clarkston, WA 99403-2010 | 2018-08-16 |
| 1881187607 | Alyssa A Neumann | Counselor | 629 6th St, Clarkston, WA 99403-2010 | 2018-06-07 |
| 1174045967 | Eric Edward Desmarais Jr. | Counselor | 629 6th St, Clarkston, WA 99403-2010 | 2017-07-13 |
| 1942681606 | Jennifer Pernsteiner | Social Worker | 629 6th St, Clarkston, WA 99403-2010 | 2015-06-17 |
| 1891064606 | Educational and Psychological Services | Case Management | 629 6th St, Clarkston, WA 99403-2010 | 2011-12-22 |
| 1689852378 | Paul D. Baker | Counselor | 629 6th St, Clarkston, WA 99403-2010 | 2008-02-05 |
| 1437349107 | Jil Marie Taylor | Counselor | 629 6th St, Clarkston, WA 99403-2010 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306409669 | Jessica Elaine Krull | Specialist/Technologist | 807 3rd Street, Clarkston, WA 99403 | 2019-04-22 |
| 1477006526 | Idaho County Rideshare | Non-emergency Medical Transport (VAN) | 1470 Elm Street, Clarkston, WA 99403 | 2016-07-25 |
| 1679921340 | Jonathan Preszler | Counselor | 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 | 2016-06-02 |
| 1104204957 | Optimal Health and Wellness | Clinic/Center | 1267 Belmont Way, Clarkston, WA 99403 | 2015-05-13 |
| 1326456351 | David Nygren | Pharmacist | 506 5th St, Clarkston, WA 99403 | 2014-07-22 |
| 1255672895 | Alpowa Healthcare, Inc. | Hospice Care, Community Based | 1370 Bridge Street, Clarkston, WA 99403 | 2013-03-06 |
| 1265799407 | Elizabeth Bagnulo Dacey | Pathology | 1225 Highland Avenue, Clarkston, WA 99403 | 2012-04-12 |
| 1649586256 | Zeeshan Afzal | Internal Medicine | 1119 Highland Ave Ste 3, Clarkston, WA 99403 | 2010-08-20 |
| 1154657955 | Twin River Vision, Inc. | Optometrist | 306 5th Street, Clarkston, WA 99403 | 2009-10-29 |
| 1649429317 | Elizabeth Marie Allen-racicot | Specialist | 1013 Bridge Street, Clarkston, WA 99403 | 2008-09-17 |
| Find all providers in zip 99403 | ||||
| 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 |
|---|---|---|---|---|
| 1649693243 | Paul Vanheulen I | Psychologist | 6469 Snow Apple Dr, Clarkston, MI 48346-2455 | 2014-02-03 |
| 1497091565 | Eric E Craig | Psychologist | 132 S River Dr, Clarkston, MI 48346-4151 | 2012-12-18 |
| 1316178049 | Chanda Lynne Pilgrim | Psychologist | 945 N Indian Creek Dr, Clarkston, GA 30021-2221 | 2009-07-29 |
| 1760673909 | Karen Marie Rusniak | Psychologist | 7300 Dixie Hwy Ste 1000, Clarkston, MI 48346-5105 | 2007-08-05 |
| 1700999018 | Beverly Hartman | Psychologist | 6548 Town Center Dr Ste D, Clarkston, MI 48346-4823 | 2006-08-17 |
| 1922035286 | Joseph C. Shoots | Psychologist | 6548 Town Center Dr, Clarkston, MI 48346-4823 | 2006-06-26 |
| 1679553028 | John C Scharfenkamp | Psychologist | 8010 Deerwood Rd, Clarkston, MI 48348-4526 | 2006-01-20 |
| 1285231266 | Bethany A Hall | Psychologist | 6060 Dixie Hwy Ste H, Clarkston, MI 48346-3476 | 2020-10-03 |
| 1639617426 | Chelsea Kneip | Psychologist | 6548 Town Center Dr, Suite D, Clarkston, MI 48346-4823 | 2017-02-01 |
| 1356893812 | Kara Herrick | Psychologist | 6548 Town Center Dr, Clarkston, MI 48346-4823 | 2016-11-01 |
| Find all providers in CLARKSTON | ||||
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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.