CRESCENT PSYCHIATRY PLLC (NPI# 1245462134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245462134 |
| Entity Type | Organization |
| Organization Name | CRESCENT PSYCHIATRY PLLC |
| Practice Address |
3819 100th St Sw Suite 7-c Lakewood WA 98499-4470 |
| Mailing Address |
7191 Wagner Way Nw Suite 301 Gig Harbor WA 98335-6909 |
| Practice Telephone | 2535887911 |
| Practice Fax Number | 2539846774 |
| Mailing Telephone | 2535148076 |
| Mailing Fax Number | 2535148078 |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2009-08-11 |
| Authorized Official Name | DR. VANRAJ VARU (PROVIDER/OWNER) |
| Authorized Official Telephone | 2535148076 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
MD00030816 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRIES | 0243791 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043560642 | Crescent Psychiatry Pllc | Psychiatry & Neurology | 1604 Hospital Pkwy Ste 203, Bedford, TX 76022-6930 | 2012-09-12 |
| Street Address |
3819 100TH ST SW SUITE 7-C |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-4470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003959891 | Makiko Guji | Psychologist | 3819 100th St Sw, Suite 7-c, Lakewood, WA 98499-4470 | 2007-02-14 |
| 1316181472 | Three Tree Infusion | Clinic/Center | 3819 100th St Sw, Suite 7-c, Lakewood, WA 98499-4470 | 2009-04-20 |
| 1396980900 | Chris Porter Arnp LLC | Registered Nurse | 3819 100th St Sw, Suite 7-c, Lakewood, WA 98499-4470 | 2008-12-10 |
| 1841441573 | Ldv Anesthesia Services LLC | Specialist | 3819 100th St Sw, Suite 7-c, Lakewood, WA 98499-4470 | 2008-09-30 |
| 1720237910 | Paceline Anesthesia LLC | Specialist | 3819 100th St Sw, Suite 7-c, Lakewood, WA 98499-4470 | 2008-09-12 |
| 1306005525 | Mind Your Body Clinic Pllc | Specialist | 3819 100th St Sw, Suite 7-c, Lakewood, WA 98499-4470 | 2008-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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|---|---|---|---|---|
| 1659996692 | Thrive Psychology Center, LLC | Psychologist | 699 Cross St Ste 110, Lakewood, NJ 08701-4681 | 2020-06-16 |
| 1578120960 | Eliyahu Melen | Psychologist | 1379 Alvarado Ave, Lakewood, NJ 08701-3902 | 2019-05-22 |
| 1548723190 | Jennifer Durst | Psychologist | 445 Union Blvd Ste 221, Lakewood, CO 80228-1241 | 2019-04-10 |
| 1093296261 | Kendra A Mathys Psyd LLC | Psychologist | 15644 Madison Ave Ste 202, Lakewood, OH 44107-5622 | 2018-08-27 |
| 1285137703 | Empower Health Center | Psychologist | 195 Walnut Ave, Lakewood, NJ 08701-5669 | 2018-03-11 |
| 1639607336 | Reine Evereteze, Psyd, LLC | Psychologist | 8015 W Alameda Ave Ste 230, Lakewood, CO 80226-3076 | 2017-05-25 |
| 1043686991 | Vincent Thomas Gollogly | Psychologist | 11444 Gravelly Lake Dr Sw, Lakewood, WA 98499-1404 | 2015-08-14 |
| 1710390299 | Mark Onusko | Psychologist | 2085 Wyandotte Ave, Lakewood, OH 44107-6135 | 2014-06-03 |
| 1093126369 | Elizabeth Ormond Ahlers | Psychologist | 1687 Cole Blvd Ste 103, Lakewood, CO 80401-3318 | 2014-05-08 |
| 1114346343 | Meshkin B Amirirad | Psychologist | 1492 S Jellison St, Lakewood, CO 80232-5025 | 2014-04-15 |
| Find all providers in LAKEWOOD | ||||
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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.