DR. ELIZABETH NYBLADE (NPI# 1053457333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053457333 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH NYBLADE |
| Credential | PH.D. |
| Practice Address |
1116 Key St Suite 213 Bellingham WA 98225-5232 |
| Practice Telephone | 3606478295 |
| Practice Fax Number | 3606478296 |
| Mailing Telephone | 3606478295 |
| Mailing Fax Number | 3606478296 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | PY0000035 | WA | Behavioral Health & Social Service Providers |
| X | 103T00000X | Psychologist | PY00000535 | WA | Behavioral Health & Social Service Providers |
| X | 103T00000X | Psychologist | PY0000035 | WA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
PY00000535 | WA | Behavioral Health & Social Service Providers |
| X | 103TF0000X |
Psychologist Specialization: Family |
PY00000535 | WA | Behavioral Health & Social Service Providers |
| X | 103TF0200X |
Psychologist Specialization: Forensic |
PY00000535 | WA | Behavioral Health & Social Service Providers |
| X | 103TH0100X |
Psychologist Specialization: Health Service |
PY00000535 | WA | Behavioral Health & Social Service Providers |
| X | 103TS0200X |
Psychologist Specialization: School |
PY00000535 | WA | Behavioral Health & Social Service Providers |
| Street Address |
1116 KEY ST SUITE 213 |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98225-5232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841283793 | Mendel Michael Gordin | Psychiatry & Neurology | 1116 Key St, Suite 211, Bellingham, WA 98225-5232 | 2005-08-25 |
| 1932635414 | Common Ground Counseling Ltd. | Marriage & Family Therapist | 1116 Key St, Suite 203, Bellingham, WA 98225-5232 | 2017-05-03 |
| 1730502501 | Stephen Bogert | Counselor | 1116 Key St, Ste 106, Bellingham, WA 98225-5232 | 2014-01-29 |
| 1609132141 | Rebecca Cowan Johnson | Psychologist | 1116 Key St, Suite 213, Bellingham, WA 98225-5232 | 2012-04-10 |
| 1376704296 | Michael Daniel Powers | Marriage & Family Therapist | 1116 Key St, Suite 203, Bellingham, WA 98225-5232 | 2008-06-23 |
| 1104038835 | Tresa Wilbee Goodfellow | Marriage & Family Therapist | 1116 Key St, Suite 210, Bellingham, WA 98225 | 2007-05-04 |
| 1891915641 | Lisa Marie Harmon | Counselor | 1116 Key St, Suite 105, Bellingham, WA 98225-5232 | 2007-04-26 |
| 1982717724 | Rachelle Brenda Herdman | Naturopath | 1116 Key St, Suite 106, Bellingham, WA 98225-5232 | 2006-08-16 |
| 1376594093 | Bellingham Family and Women's Health | Nurse Practitioner | 1116 Key St, Ste 106, Bellingham, WA 98225-5232 | 2006-05-15 |
| 1659331791 | Bonnie Lynn Sprague | Registered Nurse | 1116 Key St, Ste. 106, Bellingham, WA 98225-5232 | 2006-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578183729 | Family Care Network Pllc | Clinic/Center | 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 | 2020-04-17 |
| 1770129264 | Ariella K Ross | Massage Therapist | 2701 Northwest Avenue, Bellingham, WA 98225 | 2019-11-20 |
| 1467006205 | Family Care Network, Pllc | Family Medicine | 805 W. Orchard Drive, Suite 6, Bellingham, WA 98225 | 2019-07-30 |
| 1487110375 | Rhonda Beth Steel | Massage Therapist | Fairhaven Harbor, 1310 9th Street Penthouse No. 504, Fairhaven/bellingham, WA 98225 | 2019-02-15 |
| 1366915316 | Alexander Knight Acupuncture Inc | Acupuncturist | 12 Bellwether Way, Suite 201, Bellingham, WA 98225 | 2019-01-02 |
| 1902372998 | Northwest Telepsychiatry, Pllc | Psychiatry & Neurology | 114 W. Magnolia St., Suite 505, Bellingham, WA 98225 | 2018-10-17 |
| 1639650336 | Jennifer Sue Cogen | Massage Therapist | 2701 Northwest Ave. (ohana Pacific, Inc.), Bellingham, WA 98225 | 2018-08-22 |
| 1013414036 | Tamara C Dee | Social Worker | 1313 E Maple St Ste 229, Bellingham, WA 98225 | 2018-04-06 |
| 1417468596 | Samantha Grace Smith | Counselor | 920 Harris Avenue, 202-e, Bellingham, WA 98225 | 2017-10-17 |
| 1710406731 | Shalom Maria Shreve | Counselor | 1133 Railroad Ave., Suite 100, Bellingham, WA 98225 | 2017-09-11 |
| Find all providers in zip 98225 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649694662 | Kelly L Crenshaw | Clinical Neuropsychologist | 12 Bellwether Way Ste 240, Bellingham, WA 98225-2959 | 2014-02-11 |
| 1811179526 | John E. Neer | Clinical Neuropsychologist | 1200 Harris Avenue, Suite 306, Bellingham, WA 98225-7145 | 2007-12-04 |
| 1447223763 | Jody Ann Veltkamp | Clinical Neuropsychologist | 192 E Bakerview Road, Suite 102, Bellingham, WA 98226 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757010 | Corianne Raychael Lawrence | Clinical Neuropsychologist | 112 N 14th St, Selah, WA 98942-1713 | 2019-02-25 |
| 1588138333 | Mynd Group LLC | Clinical Neuropsychologist | 1066 View Ridge Dr, Oak Harbor, WA 98277-8265 | 2019-01-15 |
| 1588163208 | Johanah Y Kang | Clinical Neuropsychologist | 2013 South 19th Street, Tacoma, WA 98405 | 2018-02-08 |
| 1669850681 | Neuropsychological Services of The South Sound LLC | Clinical Neuropsychologist | 2620 R W Johnson Rd Sw Ste 204, Tumwater, WA 98512-6133 | 2015-05-11 |
| 1710372412 | Daniela Ferdico | Clinical Neuropsychologist | 2101 112th Ave Ne, Suite 100, Bellevue, WA 98004-2944 | 2015-03-31 |
| 1689069502 | Erica K Johnson | Clinical Neuropsychologist | 19000 33rd Ave W Ste 100, Lynnwood, WA 98036-4750 | 2015-03-30 |
| 1659776474 | Rodger Meinz | Clinical Neuropsychologist | 12712 Admiralty Way, B-101, Everett, WA 98204-5562 | 2014-10-23 |
| 1952704413 | Brad Tyson | Clinical Neuropsychologist | 12039 Ne 128th St Fl 3, Kirkland, WA 98034-3029 | 2014-09-29 |
| 1508289299 | Neuropsychology and Cognitive Health | Clinical Neuropsychologist | 1808 Richards Rd #120, Bellevue, WA 98005-3982 | 2014-01-30 |
| 1104105816 | Leapss and Beyond | Clinical Neuropsychologist | 413 Lincoln Ave Ste A, Mukilteo, WA 98275-1524 | 2011-08-11 |
| Find all providers with the same taxonomy | ||||
| City | BELLINGHAM |
| Zip Code | 98225 |
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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.