DR. CAROLYN ELIZABETH MANGELSDORF (NPI# 1942407358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942407358 |
| Entity Type | Individual |
| Full Name | DR. CAROLYN ELIZABETH MANGELSDORF |
| Credential | PH.D. |
| Practice Address |
3123 Fairview Ave E Suite C Seattle WA 98102-3051 |
| Practice Telephone | 2063246308 |
| Mailing Telephone | 2063246308 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2009-06-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY00001960 | WA | Behavioral Health & Social Service Providers |
| Street Address |
3123 FAIRVIEW AVE E SUITE C |
| City | SEATTLE |
| State | WA |
| Zip Code | 98102-3051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043315187 | Susan Willis | Psychiatry & Neurology | 3123 Fairview Ave E, Seattle, WA 98102-3051 | 2006-09-13 |
| 1700275419 | Kennedy Therapy | Marriage & Family Therapist | 3123 Fairview Ave E, Seattle, WA 98102-3051 | 2015-01-19 |
| 1831525518 | Olivia Tarr | Marriage & Family Therapist | 3123 Fairview Ave E, Seattle, WA 98102-3051 | 2013-09-25 |
| 1851664973 | Michelle Lee Byrd | Counselor | 3123 Fairview Ave E, Suite 2a, Seattle, WA 98102-3051 | 2012-02-21 |
| 1063748960 | Brien Richard Wood | Counselor | 3123 Fairview Ave E, Seattle, WA 98102-3051 | 2009-10-27 |
| 1518126457 | Stephanie Buell Rooney | Psychologist | 3123 Fairview Ave E, Suite C, Seattle, WA 98102-3051 | 2008-06-05 |
| 1265631477 | Candice Boley | Psychiatry & Neurology | 3123 Fairview Ave E, Suite E, Seattle, WA 98102-3051 | 2007-07-17 |
| 1932254992 | Shaun Anthony Rich | Counselor | 3123 Fairview Ave E, Suite C, Seattle, WA 98102-3051 | 2007-01-23 |
| 1215080858 | Charles W Huffine | Psychiatry & Neurology | 3123 Fairview Ave E, Seattle, WA 98102-3051 | 2007-01-18 |
| 1457404089 | Carol Cole | Psychologist | 3123 Fairview Ave E, Seattle, WA 98102-3051 | 2007-01-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467549 | Karen Adepoju | Registered Nurse | Karen Adepoju, 1058 E Mercer St., Seattle, WA 98102 | 2020-11-05 |
| 1548745250 | Lara Lucia | Counselor | 2366 Eastlaske Ave E, Suite 335, Seattle, WA 98102 | 2018-09-27 |
| 1801380191 | Northwest Integrative Psychotherapy, Inc. P.s. | Psychologist | 3245 Fairview Ave E Ste 310, Seattle, WA 98102 | 2018-06-19 |
| 1700382488 | Sophie Marie Bjorkquist | Counselor | 431 Boylston Ave E Apt 101, Seattle, WA 98102 | 2018-04-02 |
| 1609309533 | Lola Mudgistratova | Student in an Organized Health Care Education/Training Program | 2339 Boylston Ave W, #2, Seattle, WA 98102 | 2017-04-07 |
| 1013463371 | Mamiko Kuriya Dds Ps | Clinic/Center | 530 Broadway East, Apt #502, Seattle, WA 98102 | 2016-08-28 |
| 1912369638 | Kyle M. Forrest | Counselor | 3123 Fairview Ave E., Suite 204, Seattle, WA 98102 | 2016-03-22 |
| 1215311642 | Seattle Therapy Services LLC | Occupational Therapist | 2517 Eastlake Ave E., Suite 102, Seattle, WA 98102 | 2015-07-15 |
| 1134509458 | Broadway Dental Center, Inc. | Clinic/Center | 310 Harvard Ave. E., Seattle, WA 98102 | 2015-06-02 |
| 1871970343 | Deborah J. Patterson | Counselor | 2366 Eastlake Ave. E., #423, Seattle, WA 98102 | 2015-05-04 |
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| 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 |
|---|---|---|---|---|
| 1124638333 | Natalie Elyse Schwartz | Psychologist | 928 Nw 52nd St Unit A, Seattle, WA 98107-3648 | 2020-08-03 |
| 1679116321 | Aspinwall Therapy and Assessment LLC | Psychologist | 2470 Westlake Ave N Ste 101, Seattle, WA 98109-2282 | 2019-10-25 |
| 1285299354 | Herlina Pranata | Psychologist | 1565 Cherrylane Ave S, Seattle, WA 98144-3521 | 2019-05-04 |
| 1083184550 | Robert A Beattey Jr. | Psychologist | 910 10th Ave E Apt 205, Seattle, WA 98102-4556 | 2018-11-27 |
| 1912492828 | One Medical Group of Washington, P.C. | Psychologist | 625 Boren Avenue North, Seattle, WA 98109 | 2018-06-25 |
| 1497263859 | Leah Boisen | Psychologist | 226 Summit Ave E Ste 203, Seattle, WA 98102-5619 | 2018-01-18 |
| 1578073649 | Michelle A Proulx | Psychologist | 614 W Mcgraw St # 202, Seattle, WA 98119-2888 | 2017-10-03 |
| 1225553159 | Jennifer Chain | Psychologist | 5306 Ballard Ave Nw Ste 212, Seattle, WA 98107 | 2017-08-11 |
| 1427571652 | Cory David Secrist | Psychologist | 1417 Nw 54th St Ste 372, Seattle, WA 98107-3575 | 2017-07-19 |
| 1215464953 | Natalie Goodwin | Psychologist | 1127 10th Ave E Ste 2, Seattle, WA 98102-4377 | 2017-05-12 |
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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.