OLYMPIC PSYCHOLOGY SERVICES, PLLC (NPI# 1497114342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497114342 |
| Entity Type | Organization |
| Organization Name | OLYMPIC PSYCHOLOGY SERVICES, PLLC |
| Practice Address |
711 Court A Ste 114 Tacoma WA 98402-5227 |
| Practice Telephone | 2532696063 |
| Practice Fax Number | 3605395938 |
| Mailing Telephone | 2532696063 |
| Mailing Fax Number | 3605395938 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2019-04-09 |
| Authorized Official Name | DR. LISA HARDEBECK (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 2532696063 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | PY2596 | WA | Agencies |
| Street Address |
711 COURT A STE 114 |
| City | TACOMA |
| State | WA |
| Zip Code | 98402-5227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609399054 | Cynthia Swanlund | Psychologist | 711 Court A Ste 114, Tacoma, WA 98402-5227 | 2017-07-18 |
| 1659801173 | Stacey Park | Psychologist | 711 Court A Ste 114, Tacoma, WA 98402-5227 | 2017-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
| 1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
| 1841835436 | Michael Roy Bolden | Counselor | 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 | 2019-11-07 |
| 1073024980 | Megan Elizabeth Charron Mourfield | Denturist | 725 St Helens Ave S, Tacoma, WA 98402 | 2017-10-18 |
| 1104367937 | Janelle Santiago | Counselor | Mcdonald Smith Building 110, Uw Autism Center Tacoma, Tacoma, WA 98402 | 2017-03-13 |
| 1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
| 1609242148 | Ashley Lorraine Dahlgren | Peer Specialist | 702 S 14th St., Tacoma, WA 98402 | 2015-08-19 |
| 1821416470 | Nicole Villarreal Mccormick | Acupuncturist | 711 A Ct #100, Tacoma, WA 98402 | 2014-04-01 |
| 1184055824 | Robyn Marie Callahan | Social Worker | 1102 A Street, Suite 202 B, Tacoma, WA 98402 | 2013-12-05 |
| 1679909410 | Kristin Sweet Fischer | Counselor | 708 Market St Unit 411, Tacoma, WA 98402 | 2013-09-25 |
| Find all providers in zip 98402 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446857 | Tran Urgent Care & Wellness Centers LLC | Community/Behavioral Health | 710b S 38th St, Tacoma, WA 98418-6718 | 2020-01-21 |
| 1851931042 | Taylor Cassandra Budnick | Community/Behavioral Health | 1305 Tacoma Ave S Ste 302, Tacoma, WA 98402-1903 | 2020-01-15 |
| 1730686445 | Develop Minded Therapies | Community/Behavioral Health | 4040 S Tyler St Ste 9, Tacoma, WA 98409-2143 | 2018-04-09 |
| 1013428432 | Seneca Family of Agencies | Community/Behavioral Health | 409 Puyallup Ave, Tacoma, WA 98421-1316 | 2017-10-12 |
| 1275043663 | Seneca Family of Agencies | Community/Behavioral Health | 2136 M.l.k. Jr Way, Tacoma, WA 98405 | 2017-10-11 |
| 1629588223 | Seneca Family of Agencies | Community/Behavioral Health | 1301 E 34th St, Tacoma, WA 98404-3906 | 2017-10-09 |
| 1891150504 | Adonai Counseling & Employment Inc. | Community/Behavioral Health | 4104 South M Street, Tacoma, WA 98418-3836 | 2015-12-22 |
| 1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
| 1275904245 | Jennifer Croke Psychotherapy | Community/Behavioral Health | 5006 Varco Rd Ne, Tacoma, WA 98422-1806 | 2015-10-15 |
| 1487024360 | Perch Behavioral Health | Community/Behavioral Health | 3704 North 35th St, Tacoma, WA 98407-6033 | 2015-10-05 |
| Find all providers in TACOMA | ||||
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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.