SUNSHINE PSYCHOLOGICAL SERVICES (NPI# 1891174694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891174694 |
| Entity Type | Organization |
| Organization Name | SUNSHINE PSYCHOLOGICAL SERVICES |
| Practice Address |
1655 Hudson St Suite 5 Longview WA 98632-2949 |
| Practice Telephone | 3607477788 |
| Mailing Telephone | 3607477788 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |
| Authorized Official Name | DR. SUNSHINE ELISABETH CLARK (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 3607496721 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | PY3397 | WA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L AND I CRIME VICTIMS | 8940692 | 01 |
| WA | LABOR AND INDUSTRIES | 0205667 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SUNSHINE PSYCHOLOGICAL SERVICES LLC | 1516 Hudson St Ste 204, Longview, WA 98632-3046 |
| Street Address |
1655 HUDSON ST SUITE 5 |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-2949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376663971 | Suzanne Gowdy Lee | Speech-Language Pathologist | 1655 Hudson St, Suite I, Longview, WA 98632-2949 | 2007-03-29 |
| 1356535199 | Katy Arleen Herr | Psychologist | 1655 Hudson St, Ste 5, Longview, WA 98632-2949 | 2007-09-05 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831719533 | Anam Cara Wellness | Community/Behavioral Health | 5100 Fountain Ln, Longview, TX 75604-9462 | 2020-04-22 |
| 1316573033 | Carlton W Mitchell Lpc (pllc) | Community/Behavioral Health | 1800 W Loop 281 Ste 300, Longview, TX 75604-2516 | 2020-03-13 |
| 1902373764 | Mobberly Baptist Church | Community/Behavioral Health | 3032 N Eastman Rd Ste Longview, Longview, TX 75605-5019 | 2018-10-30 |
| 1558841361 | Pacific Counseling Services | Community/Behavioral Health | 1801 1st Ave Ste 2b6, Longview, WA 98632-3270 | 2018-08-21 |
| 1487148789 | Our Place Multicultural Community Center | Community/Behavioral Health | 3108 Fir St, Longview, WA 98632-1939 | 2018-06-20 |
| 1356704902 | Psych Fit LLC | Community/Behavioral Health | 501 Pine Tree Rd # A-6, Longview, TX 75604-4000 | 2016-03-31 |
| 1811266547 | Sabine Valley Regional Mhmr Dba Community Healthcore | Community/Behavioral Health | 950 N 4th St, Longview, TX 75601-5436 | 2011-12-27 |
| 1497030035 | Joushuas Covenants Residential Care L.L.C. | Community/Behavioral Health | 8 Brownwood Dr, Longview, TX 75602-1902 | 2011-10-14 |
| 1679862569 | East Texas Council On Alcoholism and Drug Abuse | Community/Behavioral Health | 708 Glencrest Ln, Longview, TX 75601-5137 | 2011-03-31 |
| 1699006312 | Bell2bell, LLC | Community/Behavioral Health | 1809 Nw Loop 281, Suite 107, Longview, TX 75604 | 2010-01-20 |
| Find all providers in LONGVIEW | ||||
Please comment or provide details below to improve the information on SUNSHINE PSYCHOLOGICAL SERVICES.
| 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.