SUSAN E DEMATTOS (NPI# 1396789236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396789236 |
| Entity Type | Individual |
| Full Name | SUSAN E DEMATTOS |
| Practice Address |
4445 Talbot Rd S Renton WA 98055-6219 |
| Practice Telephone | 4256564055 |
| Practice Fax Number | 4256565425 |
| Mailing Telephone | 4256564055 |
| Mailing Fax Number | 4256565425 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY00002338 | WA | Behavioral Health & Social Service Providers |
| Street Address |
4445 TALBOT RD S |
| City | RENTON |
| State | WA |
| Zip Code | 98055-6219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578510061 | Zeenat V. Batstone | Counselor | 4445 Talbot Rd S, Renton, WA 98055-6219 | 2006-05-28 |
| 1164974689 | Sherry Tillinghast | Counselor | 4445 Talbot Rd S, Renton, WA 98055-6219 | 2016-11-01 |
| 1285183384 | Sheryl Alice Blake | Social Worker | 4445 Talbot Rd S, Renton, WA 98055-6219 | 2016-09-29 |
| 1114383825 | Sara Louise Wolfgang Bainter | Counselor | 4445 Talbot Rd S, Renton, WA 98055-6219 | 2016-01-11 |
| 1467898460 | Rejoice Opara | Psychiatry & Neurology | 4445 Talbot Rd S, Renton, WA 98055-6219 | 2013-05-16 |
| 1053609503 | Bridgitte Mathiasen | Counselor | 4445 Talbot Rd S, Renton, WA 98055-6219 | 2011-07-19 |
| 1407185382 | Aaron Bobb | Psychiatry & Neurology | 4445 Talbot Rd S, Renton, WA 98055-6219 | 2009-12-23 |
| 1043442932 | Nam H Nguyen | Psychiatry & Neurology | 4445 Talbot Rd S, Renton, WA 98055-6219 | 2009-08-11 |
| 1396925996 | Gerri H Tyler | Counselor | 4445 Talbot Rd S, Renton, WA 98055-6219 | 2007-11-12 |
| 1174646038 | Karin Nielsen Figg | Counselor | 4445 Talbot Rd S, Renton, WA 98055-6219 | 2007-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356906853 | Baci Counseling, LLC | Psychologist | 3707 Smithers Ave S, Renton, WA 98055-6808 | 2019-05-09 |
| 1437542446 | Elijah John Strong Lotz | Psychologist | 400 S 2nd St, Renton, WA 98057-2007 | 2015-03-15 |
| 1962840645 | Adriana C Marti | Psychologist | 200 S 2nd St, Renton, WA 98057-2011 | 2013-06-04 |
| 1205147410 | Jolene Simpson | Psychologist | 17650 134th Ave Se, L304, Renton, WA 98058-6889 | 2010-06-23 |
| 1063682516 | Erica Margaret Brandling-bennett | Psychologist | 400 S 43rd St, Renton, WA 98055-5714 | 2008-03-11 |
| 1154524460 | Doctor Diane, Ps | Psychologist | 1412 Sw 43rd St Ste 240, Renton, WA 98057-4803 | 2007-06-06 |
| 1295889962 | William Ronald Wilkinson | Psychologist | 17900 Talbot Rd S, Suite 102, Renton, WA 98055-8212 | 2007-01-22 |
| 1467528364 | Timothy Tyson Weber | Psychologist | 9806 Se Carr Rd, Renton, WA 98055-5813 | 2006-11-24 |
| 1588608426 | Roger Corn | Psychologist | 4445 Talbot Rd S, Renton, WA 98055-6219 | 2006-06-14 |
| 1073554671 | Public Hospital District #1 of King County | Psychologist | 4445 Talbot Rd S, Renton, WA 98055-6219 | 2006-06-08 |
| Find all providers in RENTON | ||||
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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.