DR. TIFFANIE FENNELL


Address: 1660 S Columbian Way, Primary Care Clinic (s-pcc-123), Seattle, WA 98108-1532
Phone: 2062774434

DR. TIFFANIE FENNELL (NPI# 1851543300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851543300
Entity Type Individual
Full Name DR. TIFFANIE FENNELL
Credential PH.D.
Practice Address 1660 S Columbian Way
Primary Care Clinic (s-pcc-123)
Seattle
WA 98108-1532
Practice Telephone 2062774434
Mailing Telephone 2062774434
Enumeration Date 2008-10-15
Last Update Date 2015-07-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TH0004X Psychologist
Specialization: Health
PY60406906 WA Behavioral Health & Social Service Providers
N 103TH0004X Psychologist
Specialization: Health
34715 TX Behavioral Health & Social Service Providers
Y 103TH0004X Psychologist
Specialization: Health
6573 OH Behavioral Health & Social Service Providers

Office Location

Street Address 1660 S COLUMBIAN WAY
PRIMARY CARE CLINIC (S-PCC-123)
City SEATTLE
State WA
Zip Code 98108-1532

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194729608 Charles H Beymer Internal Medicine 1660 S Columbian Way, S-111-gastro Va Puget Sound Hcs, Seattle, WA 98108-1532 2005-06-13
1285235309 Peter B Min Counselor 1660 S Columbian Way, Seattle, WA 98108-1532 2020-11-04
1548860299 Justin William Almeida Counselor 1660 S Columbian Way, Seattle, WA 98108-1532 2020-10-30
1528667516 Nicole Leacock Registered Nurse 1660 S Columbian Way, Seattle, WA 98108-1532 2020-10-20
1114525664 Melissa Anne Janke Social Worker 1660 S Columbian Way, Seattle, WA 98108-1532 2020-10-15
1154928109 Erin Schober Social Worker 1660 S Columbian Way, Seattle, WA 98108-1532 2020-10-02
1144835562 Nora Dinverno Social Worker 1660 S Columbian Way, Seattle, WA 98108-1532 2020-09-11
1114539228 Jessica Greenbaum Social Worker 1660 S Columbian Way, Seattle, WA 98108-1532 2020-08-19
1982216420 Clayton Daniel Kinney Social Worker 1660 S Columbian Way, Seattle, WA 98108-1532 2020-08-17
1871103713 Tara A Crouch Psychologist 1660 S Columbian Way, Seattle, WA 98108-1532 2020-08-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205468899 Connie Heath Counselor 13044 14th Ave S, Seattle, WA 98108 2020-02-11
1316501216 Hawa Ramazani Hamadi Massage Therapist 8811 2nd Ave S, Seattle, WA 98108 2019-04-25
1306312111 Noor Ahmad Daftani Counselor 4008 Mlk Jr. Way, Seattle, WA 98108 2018-10-18
1346726015 Erica M Meurk Counselor 3016 S Dakota St, Seattle, WA 98108 2018-07-16
1023527892 Holly Lynn Wickizer Social Worker 6160 S. Columbian Way, Seattle, WA 98108 2017-09-25
1053708628 Flora Feifei Li Student in an Organized Health Care Education/Training Program 6200 13th Avenue South, Seattle, WA 98108 2015-04-22
1174869481 Cheryll J Frazier Counselor 1600 S. Columbia Way S-116-wtrc, Seattle, WA 98108 2012-12-14
1831440973 Blissa Tanaka Pharmacist 1660 S. Columbian Way (s-119), Seattle, WA 98108 2012-09-28
1023367968 Victoria Bozzacco Registered Nurse 4515 Martin Luther King Way S, Seattle, WA 98108 2012-09-06
1992053847 Russell Larder Registered Nurse 4515 Martin Luther King Jr Way, Seattle, WA 98108 2012-08-27
Find all providers in zip 98108

Taxonomy Information

Taxonomy Code 103TH0004X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Health

Taxonomy Definition

The distinct focus of the clinical health psychologist is on physical health problems. A clinical health psychologist has special expertise or training in clinical health psychology and applies scientific knowledge of the interrelationships among behavioral, emotional, cognitive, social and biological components in health and disease to the promotion and maintenance of health; the prevention, treatment and rehabilitation of illness and disability; and the improvement of the health care system. Clinical health psychologists are dedicated to the development of knowledge regarding the interface between behavior and health, and to the delivery of high quality services based on that knowledge to individuals, families, and health care.
Notes: Source: American Psychological Association Commission for the Recognition of Specialties and Proficiencies in Professional Psychology, 2008. [1/1/2007: new, 7/1/2008: definiton added, source added]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487883716 Robert Drury Psychologist 8836 Ferncliff Ave Ne, Bainbridge Island, WA 98110-2907 2009-07-08
1275783847 Celia Anne Michael Psychologist 4654 Strawbridge Ln, Langley, WA 98260-8446 2008-09-19
1063762847 Kara Louise Pegram Psychologist 9040 Jackson Ave, Tacoma, WA 98431-1000 2012-09-19
1992018907 Karen T. Lesniak Psychologist Madigan Army Medical Ctr 9040 Jackson Avenue, Tacoma, WA 98431-1100 2010-07-19
1205083938 Jill Fancher Psychologist 2621 Ne 134th St, Ste 340, Vancouver, WA 98686-3036 2008-08-25
1538351135 Esprit Corp Psychologist 7106 Ford Dr Nw, Gig Harbor, WA 98335-6482 2007-08-16

Competitor

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City SEATTLE
Zip Code 98108

Improve Information

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Dataset Information

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.

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