DR. MARY KOLPACOFF


Address: 1400 112th Avenue Northeast, Suite 221, Bellevue, WA 98004-6901
Phone: 4254519492

DR. MARY KOLPACOFF (NPI# 1144343591) 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) 1144343591
Entity Type Individual
Full Name DR. MARY KOLPACOFF
Credential PH.D.
Practice Address 1400 112th Avenue Northeast
Suite 221
Bellevue
WA 98004-6901
Practice Telephone 4254519492
Mailing Telephone 4254519492
Enumeration Date 2007-04-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 996 WA Behavioral Health & Social Service Providers

Office Location

Street Address 1400 112TH AVENUE NORTHEAST
SUITE 221
City BELLEVUE
State WA
Zip Code 98004-6901

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1962912105 Cuyler Ann Simmons Counselor 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 2017-10-02
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1124579537 Matthew Thomas Haley Pharmacist 107 Bellevue Way, Se, Bellevue, WA 98004 2016-10-20
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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
1033726385 Shawna Palmer Psychologist 16450 Se 48th Pl, Bellevue, WA 98006-5820 2020-09-29
1285175943 Ata Ul Karim Psychologist 1400 112th Ave Se Ste 205, Bellevue, WA 98004-6901 2017-03-15
1053749507 Access Agency & Connection Psychologist 1840 146th Pl Se, Bellevue, WA 98007-6821 2013-10-18
1568770006 Beth L Murphy Psychologist 1715 114th Ave Se Ste 240, Bellevue, WA 98004-6906 2010-09-17
1780905331 Amber Tabares Psychologist 1750 112th Ave Ne Ste D161, Bellevue, WA 98004-3727 2010-06-17
1649508607 Rebeca Aimee Marin Cordero Psychologist 14655 Ne Bel Red Rd Ste 203, Bellevue, WA 98007-3900 2009-12-01
1609019249 Heather Swanson Psychologist 11911 Ne 1st St Ste 208, Bellevue, WA 98005 2009-04-13
1205080041 Jeri L Schweigler Edd Inc Ps Psychologist 1300 116th Ave Ne Ste 102, Bellevue, WA 98004-3820 2008-11-06
1346410750 Maryetta T Healy Psychologist 11911 Ne 1st Street, Suite 206, Bellevue, WA 98005-3032 2008-03-03
1922217389 Linda R Young Psychologist 1607 116th Ave Ne Ste 110, Bellevue, WA 98004-3042 2007-05-22
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City BELLEVUE
Zip Code 98004

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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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