EDMONDS PSYCHOLOGICAL AND PASTORAL CARE


Address: 126 3rd Ave N, Suite 102, Edmonds, WA 98020-3219
Phone: 2065500783

EDMONDS PSYCHOLOGICAL AND PASTORAL CARE (NPI# 1023552106) 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) 1023552106
Entity Type Organization
Organization Name EDMONDS PSYCHOLOGICAL AND PASTORAL CARE
Practice Address 126 3rd Ave N
Suite 102
Edmonds
WA 98020-3219
Mailing Address 7708 234th St Sw
Edmonds
WA 98026-8836
Practice Telephone 2065500783
Mailing Telephone 2065500783
Enumeration Date 2016-12-08
Last Update Date 2016-12-08
Authorized Official Name SARAH COLYN (OWNER)
Authorized Official Telephone 2065500783
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PY00002808 WA Behavioral Health & Social Service Providers

Office Location

Street Address 126 3RD AVE N
SUITE 102
City EDMONDS
State WA
Zip Code 98020-3219

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1649586777 Kelly Druin Sievertson Social Worker 144 Railroad Ave, Suite 212, Edmonds, WA 98020 2010-08-26
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598197386 George Andrew Parks Psychologist 5222 150th Pl Sw, Edmonds, WA 98026-4338 2013-08-02
1598904229 Sarah Groen-colyn Psychologist 23107 100th Ave W, Suite 5, Edmonds, WA 98020-5062 2009-02-19
1760551949 Grant L Martin Psychologist 555 Dayton St Ste C, Edmonds, WA 98020-3476 2006-11-06
1891306668 Courtney Lavadia Psychologist 21911 76th Ave W Ste 110, Edmonds, WA 98026-7918 2020-08-13
1932528395 Benjamin Weinstein Psychologist 21616 76th Ave W Ste 102, Edmonds, WA 98026-7512 2014-04-15
1265611552 Counseling Services Inc Psychologist 7500 212th St Sw, Suite 204, Edmonds, WA 98026-7641 2007-11-02
1790964096 Ken Nichols-hoppe Psychologist 7500 212th St Sw, Suite 204, Edmonds, WA 98026-7641 2007-11-02
1053511360 Joseph S. Vizzard, Ph.d., P.s Psychologist 8311 212th St Sw, Edmonds, WA 98026-7443 2007-07-24
1811052905 Philip L. Knowles Psychologist 21616 76th Ave W, #102, Edmonds, WA 98026-7512 2006-12-27
1437236825 Doni A. Kwak Psychologist 555 Dayton St, Suite J-1, Edmonds, WA 98020-3601 2006-11-01
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City EDMONDS
Zip Code 98020

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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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