DR. GARY ALAN WALCO (NPI# 1821040700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821040700 |
Entity Type | Individual |
Full Name | DR. GARY ALAN WALCO |
Credential | PHD |
Practice Address |
4800 Sand Point Way Ne Seattle Children's Hospital Seattle WA 98105 |
Mailing Address |
4800 Sand Point Way Ne Seattle Children's Hospital Seattle WA 98105-3901 |
Practice Telephone | 2069872704 |
Practice Fax Number | 2069873935 |
Mailing Telephone | 2069872704 |
Mailing Fax Number | 2069873935 |
Enumeration Date | 2006-05-17 |
Last Update Date | 2018-07-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PY 60066173 | WA | Behavioral Health & Social Service Providers |
Y | 103TH0100X |
Psychologist Specialization: Health Service |
60066173 | WA | Behavioral Health & Social Service Providers |
N | 103TH0004X |
Psychologist Specialization: Health |
PY 60066173 | WA | Behavioral Health & Social Service Providers |
Street Address |
4800 SAND POINT WAY NE SEATTLE CHILDREN'S HOSPITAL |
City | SEATTLE |
State | WA |
Zip Code | 98105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891791448 | Eric M Harvey | Pharmacist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2005-06-27 |
1326649930 | Amy Ardaya | Physician Assistant | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-11-02 |
1235739129 | Christopher Baker | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-29 |
1134728777 | Cara Elizabeth Hilderbrand | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-24 |
1376142810 | Alexandra Michelle Barrie | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-24 |
1285233270 | Joshua James Degrave | Pharmacist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-20 |
1811595705 | Raven Khiara Hayes | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-13 |
1972101004 | Rachel Elizabeth Gulden | Physician Assistant | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-12 |
1821695446 | Kelsey Alexandra Macdonald | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-06 |
1275149676 | Lauryn Manning | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-09-21 |
Find all providers in the same location |
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 | 103TH0100X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Health Service |
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508255035 | Hong Zheng | Psychologist | 401 Ne Northgate Way Spc 465, Seattle, WA 98125-8514 | 2015-01-21 |
1316581341 | Charnelle L Broaddus | Psychologist | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2019-11-02 |
1891338919 | Sonja Marie Davalos | Psychologist | 3808 S Angeline St, Seattle, WA 98118-1712 | 2019-10-21 |
1184707374 | Philip Weinstein | Psychologist | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2006-10-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760036842 | Koinonia Center LLC | Psychologist | 11507 S Keeney Rd, Spokane, WA 99224-9625 | 2019-07-28 |
1982634069 | Julie A Rickard | Psychologist | 330 King St., Ste 5, Wenatchee, WA 98801 | 2006-07-04 |
1174909212 | Susan Diehl | Psychologist | 4526 Federal Ave, Everett, WA 98203-2132 | 2015-07-30 |
1871805200 | Jennifer Lynn Barth | Psychologist | 3322 Broadway, Everett, WA 98201-4425 | 2010-07-14 |
1700854635 | Burton T Kerr | Psychologist | 9600 Veterans Dr, Attn: A-116-mhc, Tacoma, WA 98493-5000 | 2006-03-08 |
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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.