TIMOTHY J WYATT (NPI# 1174836522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174836522 |
| Entity Type | Individual |
| Full Name | TIMOTHY J WYATT |
| Credential | M.S. LMFT |
| Practice Address |
118 E 8th St Port Angeles WA 98362-6129 |
| Practice Telephone | 3604570431 |
| Practice Fax Number | 3605653905 |
| Mailing Telephone | 3604570431 |
| Mailing Fax Number | 3605653905 |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2015-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | 1143 | KS | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | LF60520195 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811954407 | Timothy L Wyatt | Specialist | 2360a Park St, Jacksonville, FL 32204-4318 | 2006-04-27 |
| Street Address |
118 E 8TH ST |
| City | PORT ANGELES |
| State | WA |
| Zip Code | 98362-6129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942270459 | Jennifer Ruth Trefonas | Counselor | 118 E 8th St, Port Angeles, WA 98362-6129 | 2006-01-25 |
| 1790386712 | Anna Alicia Davis | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-11-05 |
| 1669071916 | Emmett Joseph Browning | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-10-19 |
| 1508463050 | Geraldine Miles Stockmann | Case Manager/Care Coordinator | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-10-07 |
| 1972110443 | Mark Thomas Fredson | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-09-28 |
| 1194331595 | Sylvia Rose Church | Case Manager/Care Coordinator | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-09-21 |
| 1881200749 | Annie Rae Guthrie | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-09-16 |
| 1356956379 | Jessica Rochel Garcia | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-09-15 |
| 1245845668 | Nevaeh Jade Selvidge | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-09-11 |
| 1114532959 | Hilary Jade Clark | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735778 | Jayme Marie Williams | Technician | 518 S. Liberty St., Port Angeles, WA 98362 | 2019-11-26 |
| 1780229559 | Barbara Amsler Nutrition, Pllc | Dietitian, Registered | 320 E. 5th St., Port Angeles, WA 98362 | 2019-11-15 |
| 1902315005 | Barbara Amsler | Nutritionist | 116 S. Ennis St, Port Angeles, WA 98362 | 2017-09-21 |
| 1134659667 | Janet Li Hanson | Registered Nurse | 532 South Alder Lane, Port Angeles, WA 98362 | 2017-06-18 |
| 1790220192 | Monica Kay Henry | Massage Therapist | 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 | 2016-12-21 |
| 1124491725 | Gabrielle Carter | Naturopath | 1126 Columbia St, Port Angeles, WA 98362 | 2015-11-04 |
| 1912301185 | Danya Lyn Davis | Massage Therapist | 106 W. Lauridsen Blvd., Port Angeles, WA 98362 | 2014-10-17 |
| 1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
| 1780001743 | Dr Adam Cramer Pllc | Clinic/Center | 104 W. 3rd St, Port Angeles, WA 98362 | 2014-03-27 |
| 1588089189 | Melanie Mccaughan | Counselor | 933 E First St, Port Angeles, WA 98362 | 2014-02-19 |
| Find all providers in zip 98362 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225248545 | Margaret Ruth Jamison | Marriage & Family Therapist | 2517 S Cherry St, Port Angeles, WA 98362-2423 | 2007-05-23 |
| 1962611509 | Carolyn J Johnston | Marriage & Family Therapist | 332 Red Deer Dr, Port Angeles, WA 98362-8231 | 2007-05-21 |
| 1932315926 | Lucille Celestino | Marriage & Family Therapist | 1004 W 16th St, Port Angeles, WA 98363-7432 | 2007-05-15 |
| 1588729578 | Melinda R. Gelder | Marriage & Family Therapist | 104 N Laurel St Ste 107, Port Angeles, WA 98362-2637 | 2006-12-27 |
| 1720519176 | Mark J Gaskill | Marriage & Family Therapist | 118 E 8th St, Port Angeles, WA 98362-6129 | 2017-03-27 |
| 1326405614 | Sarah Kathleen Hodges | Marriage & Family Therapist | 118 E 8th St, Port Angeles, WA 98362-6129 | 2016-01-18 |
| 1851764401 | Audy Vasquez-ramirez | Marriage & Family Therapist | 118 E 8th St, Port Angeles, WA 98362-6129 | 2015-11-04 |
| 1457607186 | Autumn Chandra Piontek-walsh | Marriage & Family Therapist | 113 S Eunice St, Port Angeles, WA 98362-3333 | 2012-07-31 |
| 1922233212 | Kimberly Lynn Shannon | Marriage & Family Therapist | 118 E 8th St, Port Angeles, WA 98362-6129 | 2009-05-15 |
| 1154571891 | Janno Scheer | Marriage & Family Therapist | 118 E 8th St, Port Angeles, WA 98362-6129 | 2008-09-30 |
| Find all providers in PORT ANGELES | ||||
| City | PORT ANGELES |
| Zip Code | 98362 |
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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.