WELLNESS AND REHABILITATION PSYCHOLOGICAL SERVICES, PLLC (NPI# 1225537798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225537798 |
| Entity Type | Organization |
| Organization Name | WELLNESS AND REHABILITATION PSYCHOLOGICAL SERVICES, PLLC |
| Practice Address |
10016 Edmonds Way Ste C121 Edmonds WA 98020-5107 |
| Practice Telephone | 2064452664 |
| Mailing Telephone | 2064452664 |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2020-05-18 |
| Authorized Official Name | DR. JENNIFER STEVENSON JUTTE (OWNER) |
| Authorized Official Telephone | 2064452664 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PY60137402 | WA | Behavioral Health & Social Service Providers |
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
PY60137402 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1689980302 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 509 Olive Way Ste 204, Seattle, WA 981011726 | 2063295255 |
| Street Address |
10016 EDMONDS WAY STE C121 |
| City | EDMONDS |
| State | WA |
| Zip Code | 98020-5107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689980302 | Jennifer Stevenson Jutte | Psychologist | 10016 Edmonds Way Ste C121, Edmonds, WA 98020-5107 | 2010-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538688189 | Jennifer Ducharme | Massage Therapist | 51 W. Dayton St 304, Edmonds, WA 98020 | 2017-09-14 |
| 1164959987 | Emily Grooms | Counselor | 406 Main St Ste 115c, Edmonds, WA 98020 | 2017-05-11 |
| 1427449255 | Victoria Janssen | Registered Nurse | 2225 95th Pl W, Edmonds, WA 98020 | 2015-02-16 |
| 1922496553 | Paktia Pharmacy LLC | Pharmacy | 315 5th Ave S Unit #c, Edmonds, WA 98020 | 2015-01-06 |
| 1770928491 | Sarah Campbell | Counselor | 10016 Edmonds Way, Ste C #185, Edmonds, WA 98020 | 2013-05-08 |
| 1568765170 | Sondra Beres | Marriage & Family Therapist | 300 Admiral Way Ste 203, Edmonds, WA 98020 | 2010-12-21 |
| 1649586777 | Kelly Druin Sievertson | Social Worker | 144 Railroad Ave, Suite 212, Edmonds, WA 98020 | 2010-08-26 |
| 1588817233 | Everard Jimenez Espinosa | Anesthesiology | 911-12th Ave. North, Edmonds, WA 98020 | 2008-10-28 |
| 1811109705 | Dawud Raamah | Dentist | 7935 216th St Sw # D, # D, Edmonds, WA 98020 | 2007-05-04 |
| 1437225430 | Edmonds Vision Center Ps Inc | Optometrist | 201 5th Ave S Ste 102, Edmonds, WA 98020 | 2006-11-28 |
| Find all providers in zip 98020 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801130976 | Washington State Psychological Services, LLC | Psychologist | 5105 200th St Sw Ste 100, Lynnwood, WA 98036-6397 | 2012-11-15 |
| 1831207943 | Meredith Jan Tackett | Psychologist | 1660 S Columbian Way # 128, Vapshcs Spinal Cord Injury Service, Seattle, WA 98108-1532 | 2006-08-28 |
| 1841804333 | David Henry | Psychologist | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-09-02 |
| 1194245308 | Amy Jo Starosta | Psychologist | 325 9th Ave, Seattle, WA 98104-2420 | 2017-06-20 |
| 1508238924 | Rebecca Stafford | Psychologist | 8282 28th Ct Ne Ste A, Lacey, WA 98516-7162 | 2015-10-25 |
| 1689094294 | Michelle C. Accardi-ravid | Psychologist | 325 9th Ave, Seattle, WA 98104-2420 | 2014-04-22 |
| 1962655399 | Elizabeth Kunchandy | Psychologist | 1660 S Columbian Way, Rehabilitation Care Service, S-117-rcs Va Puget Sound, Seattle, WA 98108-1532 | 2008-10-29 |
| 1063521847 | Randi Lincoln | Psychologist | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2006-08-29 |
| 1881685683 | Joy Rebecca White Martinez | Psychologist | 711 S Cowley St, Spokane, WA 99202-1330 | 2005-10-31 |
Please comment or provide details below to improve the information on WELLNESS AND REHABILITATION PSYCHOLOGICAL SERVICES, PLLC.
| 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.