DR. CRAIG C. JENSEN (NPI# 1487710935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487710935 |
| Entity Type | Individual |
| Full Name | DR. CRAIG C. JENSEN |
| Credential | PH. D. |
| Practice Address |
6803 164th Pl Sw Edmonds WA 98026-4918 |
| Practice Telephone | 4257436066 |
| Practice Fax Number | 4257436066 |
| Mailing Telephone | 4257436066 |
| Mailing Fax Number | 4257451746 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PY00000771 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841367661 | Craig Eugene Jensen | Chiropractor | 1316 Park St, Commerce, TX 75428-2647 | 2006-11-29 |
| 1164893202 | Craig Jensen | Optometrist | 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 | 2015-10-15 |
| 1437295987 | Craig C Jensen | Counselor | 1601 2nd Ave N, Suite 616, Great Falls, MT 59401-3259 | 2007-01-30 |
| 1891875159 | Craig Jensen | Pediatrics | 6701 Fannin St, Houston, TX 77030-2316 | 2006-10-17 |
| 1336233717 | Craig A Jensen | Internal Medicine | 1100 Central Ave Se, 4th Floor Hospitalists Office, Albuquerque, NM 87106-4930 | 2006-10-03 |
| 1811092216 | Craig R Jensen | Anesthesiology | 400 C St, Salt Lake City, UT 84143-1005 | 2006-09-13 |
| Street Address |
6803 164TH PL SW |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026-4918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
| 1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
| 1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
| 1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
| 1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
| 1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
| 1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
| 1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
| 1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
| 1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
| Find all providers in zip 98026 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730602657 | Lauren Helm | Psychologist | 1417 Nw 54th St Ste 458, Seattle, WA 98107-3564 | 2017-07-23 |
| 1104378157 | Walter Scott | Psychologist | Washington State, 100 Dairy Rd, Suite Jt 362, Pullman, WA 99164-5840 | 2016-10-25 |
| 1134677933 | Susan Huffaker | Psychologist | 1808 Richards Rd Ste 113, Bellevue, WA 98005-3982 | 2016-09-21 |
| 1326497231 | Logan Garrett Kaplan | Psychologist | 1701 Ne Columbia Rd Seattle Wa 98195, Seattle, WA 98195-0001 | 2016-06-10 |
| 1508260050 | Whitney Jenkins | Psychologist | 2310 130th Ave Ne Ste 101, Bellevue, WA 98005-1757 | 2014-10-13 |
| 1467878637 | Josh Juul | Psychologist | 6700 Roosevelt Way Ne, #a303, Seattle, WA 98115-6637 | 2014-03-12 |
| 1740591486 | Kara Meyer | Psychologist | 825 Legion Way Se, Ste D, Olympia, WA 98501-1586 | 2010-06-28 |
| 1346475381 | Nancy Ellen Cohen | Psychologist | 216 Broadway E, Seattle, WA 98102-5776 | 2009-05-20 |
| 1629202668 | Barbara Smith | Psychologist | 11412 99th Pl Ne, Kirkland, WA 98033-4314 | 2009-05-05 |
| 1366628588 | John Eric Lawrence | Psychologist | 724 Bremerton Pl Ne, Renton, WA 98059-4763 | 2008-01-17 |
| 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.