FAMILY PSYCHOLOGICAL SERVICES OF KIRKLAND, PS (NPI# 1376661025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376661025 |
| Entity Type | Organization |
| Organization Name | FAMILY PSYCHOLOGICAL SERVICES OF KIRKLAND, PS |
| Practice Address |
1104 Market St Kirkland WA 98033-5441 |
| Practice Telephone | 4255761817 |
| Practice Fax Number | 4258898362 |
| Mailing Telephone | 4255761817 |
| Mailing Fax Number | 4258898362 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GUY ORAM (PRESIDENT) |
| Authorized Official Telephone | 4255761817 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PY1926 | WA | Behavioral Health & Social Service Providers |
| Street Address |
1104 MARKET ST |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98033-5441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033184684 | Darrow Art Chan | Psychologist | 1104 Market St, Kirkland, WA 98033-5441 | 2006-02-17 |
| 1598323123 | Kiranmayi Neelarambam | Psychologist | 1104 Market St, Kirkland, WA 98033-5441 | 2019-05-29 |
| 1558750240 | Cheryl Stolz | Psychologist | 1104 Market St, Kirkland, WA 98033-5441 | 2015-01-18 |
| 1447522321 | Meghan Juretic | Psychologist | 1104 Market St, Kirkland, WA 98033-5441 | 2012-02-07 |
| 1366619355 | Junghee Park-adams | Psychologist | 1104 Market St, Kirkland, WA 98033-5441 | 2008-05-09 |
| 1639393531 | David B. Coppel, Ph.d., P.s. | Clinical Neuropsychologist | 1104 Market St, Kirkland, WA 98033-5441 | 2007-04-12 |
| 1588782239 | Guy Oram | Clinical Neuropsychologist | 1104 Market St, Kirkland, WA 98033-5441 | 2007-03-27 |
| 1831255512 | Stephen F Andrews | Psychologist | 1104 Market St, Kirkland, WA 98033-5441 | 2006-12-28 |
| 1770643884 | J Trudi Sackey | Marriage & Family Therapist | 1104 Market St, Kirkland, WA 98033-5441 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584826 | Raquel Maria Reyes | Interpreter | 11205 Ne 62nd St., Kirkland, WA 98033 | 2020-10-02 |
| 1588146468 | Lake Washington Family Chiropractic, Pllc | Chiropractor | 816 6th Street South, 816 6th Street South, Kirkland, WA 98033 | 2018-09-06 |
| 1316463557 | Tony Jia Ly | Pharmacist | 7224 120th Ave Ne, Kirkland, WA 98033 | 2017-08-18 |
| 1003356403 | Eden Home Health of King County, LLC | Home Health | 733 7th Avenue, Suite 110, Kirkland, WA 98033 | 2017-03-03 |
| 1184170763 | Kirkland Family Dentistry | Dentist | 1715 Market St #104, Kirkland, WA 98033 | 2016-09-01 |
| 1144688565 | Kamala Psychology and Yoga LLC | Psychologist | 603 4th Ave Ste 101, Kirkland, WA 98033 | 2016-01-30 |
| 1245695352 | Ron Massey | Massage Therapist | 11406 Ne 112th St, Kirkland, WA 98033 | 2015-12-17 |
| 1194106039 | John Pham | Internal Medicine | 9426 116th Ave Ne, Kirkland, WA 98033 | 2015-06-16 |
| 1992199970 | Garrison Patrick Wier | Ophthalmology | 625 4th Ave Ste 301, Kirkland, WA 98033 | 2015-03-26 |
| 1871993113 | Abigail Trajtenberg Loomis | Behavioral Analyst | 1003 7th Avenue, Kirkland, WA 98033 | 2014-08-22 |
| Find all providers in zip 98033 | ||||
| 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 |
|---|---|---|---|---|
| 1952704413 | Brad Tyson | Clinical Neuropsychologist | 12039 Ne 128th St Fl 3, Kirkland, WA 98034-3029 | 2014-09-29 |
| 1851596258 | Public Hospital District No. 2 | Clinical Neuropsychologist | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2007-06-18 |
| 1639393531 | David B. Coppel, Ph.d., P.s. | Clinical Neuropsychologist | 1104 Market St, Kirkland, WA 98033-5441 | 2007-04-12 |
| 1588782239 | Guy Oram | Clinical Neuropsychologist | 1104 Market St, Kirkland, WA 98033-5441 | 2007-03-27 |
| 1316099435 | Jeffrey Allen Shaw | Clinical Neuropsychologist | 12303 Ne 130th Ln, Sutie 325, Kirkland, WA 98034-3099 | 2007-01-17 |
| 1184796799 | Public Hospital District No. 2 | Clinical Neuropsychologist | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2006-11-15 |
| 1144305962 | Kristen Brewer Sherman | Clinical Neuropsychologist | 12039 Ne 128th St, Ste 200, Kirkland, WA 98034-3030 | 2006-10-27 |
| 1972585305 | Temperance Wick Evans | Clinical Neuropsychologist | 12039 Ne 128th St, Ste 200, Kirkland, WA 98034-3030 | 2005-11-21 |
| 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 |
| 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 |
| 1104105816 | Leapss and Beyond | Clinical Neuropsychologist | 413 Lincoln Ave Ste A, Mukilteo, WA 98275-1524 | 2011-08-11 |
| Find all providers with the same taxonomy | ||||
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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.