NORTHWEST PSYCHOLOGICAL RESOURCES LLC (NPI# 1811079049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811079049 |
| Entity Type | Organization |
| Organization Name | NORTHWEST PSYCHOLOGICAL RESOURCES LLC |
| Practice Address |
945 11th Ave Suite B Longview WA 98632-2555 |
| Practice Telephone | 3604148600 |
| Practice Fax Number | 3606367372 |
| Mailing Telephone | 3604148600 |
| Mailing Fax Number | 3606367372 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-12-20 |
| Authorized Official Name | MS. ELIZABETH J MCNABB (OFFICE MANAGER) |
| Authorized Official Telephone | 3604148600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | RC49825 | WA | Behavioral Health & Social Service Providers |
| N | 101Y00000X | Counselor | LH4032 | WA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PY2237 | WA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PY2966 | WA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PY3397 | WA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PY436 | WA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PY3263 | WA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PY2721 | WA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PY1687 | WA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PY2823 | WA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PY1269 | WA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LW4474 | WA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
SW40002261 | WA | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | PY1656 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | KAISER | 112359 | 01 |
| WA | CRIME VICTIMS | 0126624 | 01 |
| WA | LABOR AND INDUSTRIES | 0126624 | 01 |
| Street Address |
945 11TH AVE SUITE B |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-2555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164468609 | Stephen Scott Meharg | Psychologist | 945 11th Ave, Suite B, Longview, WA 98632-2503 | 2006-06-22 |
| 1427578814 | Alexander Potter | Counselor | 945 11th Ave, Longview, WA 98632-2555 | 2017-06-26 |
| 1497206411 | Kathryn Fanchi | Counselor | 945 11th Ave, Longview, WA 98632-2555 | 2016-10-14 |
| 1780042770 | Kristin Joy Gibb | Counselor | 945 11th Ave, Longview, WA 98632-2555 | 2016-02-04 |
| 1063819175 | Ibrahim Kurdieh | Psychologist | 945 11th Ave, Suite B, Longview, WA 98632-2555 | 2014-12-04 |
| 1639588619 | Sarah Allen | Counselor | 945 11th Ave, Longview, WA 98632-2555 | 2014-08-04 |
| 1043404643 | Wendy J Biss | Psychologist | 945 11th Ave, Suite B, Longview, WA 98632-2555 | 2007-08-28 |
| 1780750471 | Karen Ann Pauly | Psychologist | 945 11th Ave, Suite B, Longview, WA 98632-2555 | 2006-11-27 |
| 1538235197 | Mary L Heywood | Social Worker | 945 11th Ave, Suite B, Longview, WA 98632-2555 | 2006-11-27 |
| 1215022546 | Fran J Smith | Social Worker | 945 11th Ave, Suite B, Longview, WA 98632-2555 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757010 | Corianne Raychael Lawrence | Clinical Neuropsychologist | 112 N 14th St, Selah, WA 98942-1713 | 2019-02-25 |
| 1588138333 | Mynd Group LLC | Clinical Neuropsychologist | 1066 View Ridge Dr, Oak Harbor, WA 98277-8265 | 2019-01-15 |
| 1588163208 | Johanah Y Kang | Clinical Neuropsychologist | 2013 South 19th Street, Tacoma, WA 98405 | 2018-02-08 |
| 1669850681 | Neuropsychological Services of The South Sound LLC | Clinical Neuropsychologist | 2620 R W Johnson Rd Sw Ste 204, Tumwater, WA 98512-6133 | 2015-05-11 |
| 1710372412 | Daniela Ferdico | Clinical Neuropsychologist | 2101 112th Ave Ne, Suite 100, Bellevue, WA 98004-2944 | 2015-03-31 |
| 1689069502 | Erica K Johnson | Clinical Neuropsychologist | 19000 33rd Ave W Ste 100, Lynnwood, WA 98036-4750 | 2015-03-30 |
| 1659776474 | Rodger Meinz | Clinical Neuropsychologist | 12712 Admiralty Way, B-101, Everett, WA 98204-5562 | 2014-10-23 |
| 1952704413 | Brad Tyson | Clinical Neuropsychologist | 12039 Ne 128th St Fl 3, Kirkland, WA 98034-3029 | 2014-09-29 |
| 1649694662 | Kelly L Crenshaw | Clinical Neuropsychologist | 12 Bellwether Way Ste 240, Bellingham, WA 98225-2959 | 2014-02-11 |
| 1508289299 | Neuropsychology and Cognitive Health | Clinical Neuropsychologist | 1808 Richards Rd #120, Bellevue, WA 98005-3982 | 2014-01-30 |
| Find all providers with the same taxonomy | ||||
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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.