MR. WAYNE C. DEES (NPI# 1275526949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275526949 |
| Entity Type | Individual |
| Full Name | MR. WAYNE C. DEES |
| Credential | PSY.D |
| Practice Address |
14212 Ambaum Blvd Sw Suite 103 Burien WA 98166 |
| Mailing Address |
P.o. Box 66397 Burien WA 98166 |
| Practice Telephone | 2062174530 |
| Practice Fax Number | 2062174533 |
| Mailing Telephone | 2062174530 |
| Mailing Fax Number | 2062174533 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2010-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | RC00052944 | WA | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | PY3311 | WA | Behavioral Health & Social Service Providers |
| Street Address |
14212 AMBAUM BLVD SW SUITE 103 |
| City | BURIEN |
| State | WA |
| Zip Code | 98166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063966703 | Davis Dental Health | Dentist | 14212 Ambaum Blvd Sw, Suite 100, Burien, WA 98166-1449 | 2016-08-11 |
| 1750770905 | Mujalin Thuntarug | Physician Assistant | 14212 Ambaum Blvd Sw, Suite 106, Burien, WA 98166-1449 | 2015-01-12 |
| 1568749257 | Wayne C Dees Psy.d P.s. | Community/Behavioral Health | 14212 Ambaum Blvd Sw, Suite 103, Burien, WA 98166-1449 | 2011-11-08 |
| 1649554189 | Allied Family Dental | Dentist | 14212 Ambaum Blvd Sw, Suite 302, Burien, WA 98166-1449 | 2011-10-03 |
| 1740571389 | Ona L Schulz | Physician Assistant | 14212 Ambaum Blvd Sw, Suite 304, Burien, WA 98166-1449 | 2011-05-01 |
| 1548358187 | Vicki L Fox | Nurse Practitioner | 14212 Ambaum Blvd Sw, 106, Burien, WA 98166-1449 | 2006-10-10 |
| 1083648877 | Cynthia L. Taylor, Md | Clinic/Center | 14212 Ambaum Blvd Sw, Suite 106, Burien, WA 98166-1449 | 2006-07-10 |
| 1841224102 | Cynthia Taylor | Family Medicine | 14212 Ambaum Blvd Sw, Suite 106, Burien, WA 98166-1449 | 2006-07-10 |
| 1558391078 | Roger K Larson | Specialist | 14212 Ambaum Blvd Sw, Suite 201, Burien, WA 98166-1449 | 2006-07-03 |
| 1023068301 | Jeffrey Lee | Dentist | 14212 Ambaum Blvd Sw, Ste #203, Burien, WA 98166-1449 | 2006-05-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508341488 | Robert James Woodland Sr. | Counselor | 1210 Sw 136th St., Burien, WA 98166 | 2018-09-26 |
| 1215467329 | Amy Elizabeth Castillo | Massage Therapist | 1204 Sw 168th St, Normandy Park, WA 98166 | 2017-06-13 |
| 1053856070 | Michael David Blackledge | Physical Therapist | 15811 Ambaum Blvd Sw Ste 140, Burien, WA 98166 | 2016-12-29 |
| 1114372232 | Maris Gibson | Massage Therapist | 801 S.w. 150thst, #110, Burien, WA 98166 | 2016-04-26 |
| 1649642992 | Navos | Community/Behavioral Health | 31408 28th Ave South, 1201 Sw 136th Street, Burien, WA 98166 | 2015-10-27 |
| 1154790798 | Han Nguyen | Chiropractor | 15811 Ambaum Blvd Sw Suite 110, Burien, WA 98166 | 2015-09-24 |
| 1497163778 | Maria Garvey-caruso | Physical Therapist | 1511 Ambaum Blvd South West, Suite 140, Burien, WA 98166 | 2014-07-30 |
| 1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
| 1023362753 | Donna Shaman | Occupational Therapist | 15675 Ambaum Blvd, Burien, WA 98166 | 2012-11-02 |
| 1366707010 | Tracy C Saephanh | Pharmacy Technician | 14901 4th Ave Sw Ste 100, Burien, WA 98166 | 2012-07-09 |
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| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757010 | Corianne Raychael Lawrence | Clinical Neuropsychologist | 112 N 14th St, Selah, WA 98942-1713 | 2019-02-25 |
| 1588138333 | Mynd Group LLC | Clinical Neuropsychologist | 1066 View Ridge Dr, Oak Harbor, WA 98277-8265 | 2019-01-15 |
| 1588163208 | Johanah Y Kang | Clinical Neuropsychologist | 2013 South 19th Street, Tacoma, WA 98405 | 2018-02-08 |
| 1669850681 | Neuropsychological Services of The South Sound LLC | Clinical Neuropsychologist | 2620 R W Johnson Rd Sw Ste 204, Tumwater, WA 98512-6133 | 2015-05-11 |
| 1710372412 | Daniela Ferdico | Clinical Neuropsychologist | 2101 112th Ave Ne, Suite 100, Bellevue, WA 98004-2944 | 2015-03-31 |
| 1689069502 | Erica K Johnson | Clinical Neuropsychologist | 19000 33rd Ave W Ste 100, Lynnwood, WA 98036-4750 | 2015-03-30 |
| 1659776474 | Rodger Meinz | Clinical Neuropsychologist | 12712 Admiralty Way, B-101, Everett, WA 98204-5562 | 2014-10-23 |
| 1952704413 | Brad Tyson | Clinical Neuropsychologist | 12039 Ne 128th St Fl 3, Kirkland, WA 98034-3029 | 2014-09-29 |
| 1649694662 | Kelly L Crenshaw | Clinical Neuropsychologist | 12 Bellwether Way Ste 240, Bellingham, WA 98225-2959 | 2014-02-11 |
| 1508289299 | Neuropsychology and Cognitive Health | Clinical Neuropsychologist | 1808 Richards Rd #120, Bellevue, WA 98005-3982 | 2014-01-30 |
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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.