JOCELYN TELLO PSYD INC (NPI# 1437572450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437572450 |
| Entity Type | Organization |
| Organization Name | JOCELYN TELLO PSYD INC |
| Practice Address |
400 E Evergreen Blvd Suite 313 Vancouver WA 98660-3331 |
| Practice Telephone | 3609310605 |
| Practice Fax Number | 3608594533 |
| Mailing Telephone | 3609310605 |
| Mailing Fax Number | 3608594533 |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-01-27 |
| Authorized Official Name | DR. JOCELYN TELLO (OWNER) |
| Authorized Official Telephone | 3609310605 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
PY00003900 | WA | Ambulatory Health Care Facilities |
| Street Address |
400 E EVERGREEN BLVD SUITE 313 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98660-3331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649247263 | Anne Lindgren Olwine | Counselor | 400 E Evergreen Blvd, Suite 219a, Vancouver, WA 98660-3331 | 2006-03-02 |
| 1831628544 | Megan Knight | Speech-Language Pathologist | 400 E Evergreen Blvd, Vancouver, WA 98660-3331 | 2017-06-06 |
| 1639628712 | Playful Healing Counseling | Social Worker | 400 E Evergreen Blvd, Suite 301-a, Vancouver, WA 98660-3331 | 2016-09-29 |
| 1760805030 | Matthew Beeble | Counselor | 400 E Evergreen Blvd, Suite 104, Vancouver, WA 98660-3331 | 2014-01-22 |
| 1639519911 | Kristin Marie Amundson | Counselor | 400 E Evergreen Blvd, Suite 315, Vancouver, WA 98660-3331 | 2013-07-01 |
| 1467792069 | Daniel Wright | Massage Therapist | 400 E Evergreen Blvd, 318, Vancouver, WA 98660-3331 | 2013-02-20 |
| 1174874911 | James R Maxwell | Counselor | 400 E Evergreen Blvd, Suite 301c, Vancouver, WA 98660-3331 | 2012-09-19 |
| 1043445505 | Kelli Lynn Huyette | Massage Therapist | 400 E Evergreen Blvd, Ste. 8, Vancouver, WA 98660-3331 | 2009-05-27 |
| 1053576116 | Jessica Rainey Cemenska | Marriage & Family Therapist | 400 E Evergreen Blvd, Suite #301, Vancouver, WA 98660-3331 | 2008-07-28 |
| 1679749022 | T Aisha Edwards | Counselor | 400 E Evergreen Blvd, 219b, Vancouver, WA 98660-3331 | 2008-05-06 |
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| 1134422629 | Brenda Marie Bible | Social Worker | 101 E 8th St Ste 110, Vancouver, WA 98660 | 2010-12-06 |
| 1871895409 | Donna L Benedicktus | Contractor | 210 E Evergreen Blvd, Vancouver, WA 98660 | 2010-12-02 |
| 1992007801 | Peter Ray Hasemeier | Massage Therapist | 805 Broadway St., Vancouver, WA 98660 | 2010-11-29 |
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| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1700344298 | Wild Heart Society Pllc | Clinic/Center | 15604 Ne 28th Ave, Vancouver, WA 98686-1541 | 2019-03-04 |
| 1932473238 | Associates for Psychiatric & Mental Health, LLC | Clinic/Center | 2600 F Street, Vancouver, WA 98663 | 2012-03-04 |
| 1013051606 | Wchs, Inc. | Clinic/Center | 2009 Ne 117th Street, Ste. 101, Vancouver, WA 98686-4022 | 2007-02-16 |
| 1700407582 | Cullins Psychological and Counseling Services | Clinic/Center | 9120 Ne Vancouver Mall Loop Ste 261, Vancouver, WA 98662-6391 | 2020-05-02 |
| 1891325551 | Four Elements Behavioral Health Corp | Clinic/Center | 1104 Main St Ste M110, Vancouver, WA 98660-2980 | 2020-01-22 |
| 1669038543 | Sea - Mar Community Health Center | Clinic/Center | 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA 98661-3717 | 2019-05-15 |
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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.