DR. JOSEPH STEPHEN VIZZARD (NPI# 1508918079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508918079 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH STEPHEN VIZZARD |
| Credential | PH.D. |
| Practice Address |
8311 212th St Sw Edmonds WA 98026-7443 |
| Practice Telephone | 4257718011 |
| Practice Fax Number | 4257718009 |
| Mailing Telephone | 4257718011 |
| Mailing Fax Number | 4257718009 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2013-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY0001307 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7115884 | 05 | |
| WA | DEPARTMENT OF LABOR & IND | 37852 | 01 |
| WA | REGENCE INSURANCE | VI9735 | 01 |
| Street Address |
8311 212TH ST SW |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026-7443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053511360 | Joseph S. Vizzard, Ph.d., P.s | Psychologist | 8311 212th St Sw, Edmonds, WA 98026-7443 | 2007-07-24 |
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760771018 | Darryl Graham | Psychologist | 801 12th Pl N, Edmonds, WA 98020-2937 | 2011-04-06 |
| 1689980302 | Jennifer Stevenson Jutte | Psychologist | 10016 Edmonds Way Ste C121, Edmonds, WA 98020-5107 | 2010-08-19 |
| 1780902213 | Sanctuary Psychological Services | Psychologist | 23107 100th Ave W Ste 5, Edmonds, WA 98020-5062 | 2010-05-07 |
| 1306996400 | David Moore Barrett | Psychologist | 555 Dayton St Ste D, Edmonds, WA 98020-3476 | 2007-01-11 |
| 1992815997 | Harriet Z. Winkelman | Psychologist | 22727 Highway 99, Ste. 201, Edmonds, WA 98026-8381 | 2006-08-30 |
| 1649204702 | Monte Lane Scott | Psychologist | 18303 Andover St, Edmonds, WA 98026-5429 | 2006-07-11 |
| 1134158033 | Patricia Ann Worthey | Psychologist | 144 Railroad Ave Ste 227, Edmonds, WA 98020-4100 | 2006-07-02 |
| 1811923113 | Cheryl Gifford Culevski | Psychologist | 115 4th Ave S, Suite C, Edmonds, WA 98020-3515 | 2006-06-25 |
| 1225537798 | Wellness and Rehabilitation Psychological Services, Pllc | Psychologist | 10016 Edmonds Way Ste C121, Edmonds, WA 98020-5107 | 2018-02-09 |
| 1437515442 | Integrative Psychological and Social Services | Psychologist | 21701 76th Ave W, Suite 302, Edmonds, WA 98026 | 2016-01-06 |
| Find all providers in EDMONDS | ||||
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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.