KELLEN TAKESHI IMADA (NPI# 1154979540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154979540 |
| Entity Type | Individual |
| Full Name | KELLEN TAKESHI IMADA |
| Practice Address |
509 Olive Way Ste 204 Seattle WA 98101-1726 |
| Mailing Address |
1428a Ekaha Ave Honolulu HI 96816-4385 |
| Practice Telephone | 8089545558 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
509 OLIVE WAY STE 204 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98101-1726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437125044 | Thomas Frederick Semper | Psychiatry & Neurology | 509 Olive Way Ste 204, Seattle, WA 98101-1726 | 2006-02-23 |
| 1578171336 | Brent E Hopkins | Psychologist | 509 Olive Way Ste 204, Seattle, WA 98101-1726 | 2020-07-17 |
| 1174173272 | Aaron Parker, Psychology, Pllc | Community/Behavioral Health | 509 Olive Way Ste 204, Seattle, WA 98101-1726 | 2019-09-19 |
| 1164072260 | Aaron Parker | Psychologist | 509 Olive Way Ste 204, Seattle, WA 98101-1726 | 2019-09-19 |
| 1053861955 | Vanessa Dzivakwe, Phd, Pllc | Community/Behavioral Health | 509 Olive Way Ste 204, Seattle, WA 98101-1726 | 2016-10-04 |
| 1164874400 | Diana Hu | Psychologist | 509 Olive Way Ste 204, Seattle, WA 98101-1726 | 2016-07-11 |
| 1427474618 | James Lolley | Psychologist | 509 Olive Way Ste 204, Seattle, WA 98101-1726 | 2014-03-12 |
| 1013340793 | Vanessa G Dzivakwe | Psychologist | 509 Olive Way Ste 204, Seattle, WA 98101-1726 | 2013-08-16 |
| 1962717884 | Shannon Hackett | Psychologist | 509 Olive Way Ste 204, Seattle, WA 98101-1726 | 2010-08-16 |
| 1750452876 | David K Markley | Psychologist | 509 Olive Way Ste 204, Seattle, WA 98101-1726 | 2006-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987485 | David James Sanders | Internal Medicine | 1100 Ninth Avenue: Attention David Sanders, G2-pmr, Seattle, WA 98101 | 2020-09-17 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1699313353 | Eunyoung Kim | Pharmacist | 925 Seneca Street, H3-pi, Seattle, WA 98101 | 2019-12-12 |
| 1407405657 | Maryanne Wambui Mirie | Registered Nurse | Josephinum 1902 2 Nd Ave, C/o Crew ., Seattle, WA 98101 | 2019-09-10 |
| 1437714854 | Bossakara Sokhom | Student in an Organized Health Care Education/Training Program | 925 Seneca St. Mailstop H8-gme, Seattle, WA 98101 | 2019-05-01 |
| 1841752516 | Hai Quan Ngoc Truong | Student in an Organized Health Care Education/Training Program | 925 Seneca St, H8-gme, Seattle, WA 98101 | 2019-04-02 |
| 1134689318 | Kaitlin Alyse Geck | Student in an Organized Health Care Education/Training Program | 928 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2019-03-22 |
| 1659860088 | Jaime Mauricio Jimenez | Student in an Organized Health Care Education/Training Program | Virginia Mason 925 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2018-05-01 |
| 1184156861 | Benjamin Perin | Student in an Organized Health Care Education/Training Program | 925 Seneca Street, H8-gme, Virginia Mason, Seattle, WA 98101 | 2017-03-31 |
| 1316478258 | John Robert Coleman | Anesthesiology | 1100 9th Ave Ms: M4-pfs, Seattle, WA 98101 | 2017-03-22 |
| Find all providers in zip 98101 | ||||
| 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.