AMANDA V WEATHERBY (NPI# 1457670820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457670820 |
| Entity Type | Individual |
| Full Name | AMANDA V WEATHERBY |
| Credential | PH.D. |
| Practice Address |
400 E Evergreen Blvd Ste 210 Vancouver WA 98660-3264 |
| Practice Telephone | 6266763927 |
| Practice Fax Number | 3608446068 |
| Mailing Fax Number | 3608446068 |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2010-05-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 00003931 | WA | Behavioral Health & Social Service Providers |
| Street Address |
400 E EVERGREEN BLVD STE 210 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98660-3264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063955581 | Heather Pace | Counselor | 400 E Evergreen Blvd Ste 210, Vancouver, WA 98660-3264 | 2016-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538779137 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 781 W Columbia Way, Vancouver, WA 98660 | 2020-08-07 |
| 1538641527 | Melissa Molly Sivaram | Counselor | 1012 Esther St, Vancouver, WA 98660 | 2018-09-05 |
| 1679082598 | Christopher Lewis Schwab | Peer Specialist | 5197 Nw Lower River Rd, Vancouver, WA 98660 | 2017-09-22 |
| 1023560141 | Disabled Veterans Hawaii LLC | Durable Medical Equipment & Medical Supplies | 4817 Nw Fruit Valley Road, Suite 100, Vancouver, WA 98660 | 2016-10-25 |
| 1023493004 | Laura Nicole Wood | Counselor | 1104 Main St Ste M100, Vancouver, WA 98660 | 2015-07-20 |
| 1790034627 | Clark County Juvenile Court | Marriage & Family Therapist | 500 W 11th Street, Vancouver, WA 98660 | 2012-09-06 |
| 1538439104 | Hutton Chiropractic Clinic Inc | Chiropractor | 703 Broadway Street, Ste 650, Vancouver, WA 98660 | 2012-01-12 |
| 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 |
| Find all providers in zip 98660 | ||||
| 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 |
|---|---|---|---|---|
| 1881969558 | Adina Christiana Gabor-gagea | Psychologist | 1002 Ne 91st Ave, Vancouver, WA 98664-2421 | 2012-03-14 |
| 1780958116 | Sherrie Ann Davis | Psychologist | 16904 Se 1st Street Suite 104, Vancouver, WA 98684-8723 | 2012-03-02 |
| 1285938241 | Chuck Weisser, Phd. PC | Psychologist | 754 Officers Row, Vancouver, WA 98661-3845 | 2011-01-05 |
| 1396051520 | Jennifer Leigh Cotton | Psychologist | 2103 Ne 129th St, Suite 101, Vancouver, WA 98686-3268 | 2010-08-25 |
| 1679742100 | Amy Gruber | Psychologist | 2312 Ne 129th St Ste 100, Vancouver, WA 98686-3236 | 2008-02-28 |
| 1659570067 | Pamela Marie Kimsey | Psychologist | 108 W 23rd St, Vancouver, WA 98660-2621 | 2007-07-16 |
| 1629296579 | Jon Edward Ingram | Psychologist | 1514 E St, Suite A, Vancouver, WA 98663-3441 | 2007-04-23 |
| 1548312630 | Taryn E. Markee | Psychologist | 2009 F Street, Vancouver, WA 98663 | 2007-01-17 |
| 1275638181 | Brian John Adams | Psychologist | 1498 Se Tech Center Pl Ste 385, Northwest Psychological Resources, Vancouver, WA 98683-5508 | 2006-09-14 |
| 1801804851 | Robert Allen Poole | Psychologist | 200 E 22nd St Ste F, Vancouver, WA 98663-3266 | 2006-08-04 |
| Find all providers in VANCOUVER | ||||
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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.