DR. JAY MATTHEW UOMOTO (NPI# 1790895605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790895605 |
Entity Type | Individual |
Full Name | DR. JAY MATTHEW UOMOTO |
Credential | PH.D. |
Practice Address |
Madigan Army Medical Center 9040 Jackson Ave Tacoma WA 98431-2756 |
Mailing Address |
Madigan Army Medical Center 9040 Jackson Ave Tacoma WA 98431-0001 |
Practice Telephone | 2539689016 |
Mailing Telephone | 2539689016 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2019-08-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103G00000X | Clinical Neuropsychologist | PY00001147 | WA | Behavioral Health & Social Service Providers |
Y | 103G00000X | Clinical Neuropsychologist | PY1147 | WA | Behavioral Health & Social Service Providers |
Street Address |
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE |
City | TACOMA |
State | WA |
Zip Code | 98431-2756 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396740254 | Dennis Huang | Podiatrist | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2005-06-16 |
1891395851 | Juliana Dumayas | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0002 | 2020-10-29 |
1922658491 | Fatima Hossay Safi | Social Worker | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-09-17 |
1134778095 | Vinzuella Boddie | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-09-04 |
1588219059 | Susan Marie Lopez | Dietitian, Registered | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-08-01 |
1174177109 | Bradley Scott Miller | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-1100 | 2019-07-29 |
1437703568 | Alex Alberto Hernandez Vargas | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-07-26 |
1427619733 | Dana Michelle Sanchez-terry | Nurse Practitioner | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431 | 2019-06-26 |
1255998076 | Scott Michael Brown | Military Health Care Provider | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-5650 | 2019-05-28 |
1861059081 | Nathaniel Alan Castonguay | Licensed Practical Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-1100 | 2019-05-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
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Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588163208 | Johanah Y Kang | Clinical Neuropsychologist | 2013 South 19th Street, Tacoma, WA 98405 | 2018-02-08 |
1649599572 | Troy J Stettler | Clinical Neuropsychologist | 9600 Veterans Drive 116 Mhc, Tacoma, WA 98493-0001 | 2010-05-17 |
1376868307 | Alycia Shannon Zink | Clinical Neuropsychologist | 9900 Veterans Drive, Tacoma, WA 98493-1522 | 2010-04-01 |
1629279005 | April Fritch | Clinical Neuropsychologist | 9040 Fitzsimmons Ave, Tacoma, WA 98433 | 2007-05-31 |
1063624104 | John Allan Ernst | Clinical Neuropsychologist | 1717 S J St # Ms 02-12, St Joseph Medical Center, Tacoma, WA 98405-4933 | 2007-05-03 |
1811034481 | David R Knopes | Clinical Neuropsychologist | 2013 S 19th St, Tacoma, WA 98405-2920 | 2007-01-31 |
1790833010 | Audrey Jean Don | Clinical Neuropsychologist | 1916 S Washington St, Tacoma, WA 98405-1025 | 2007-01-05 |
1316050271 | Monna Wier | Clinical Neuropsychologist | 9900 Veterans Dr,american Lake Div. Vapshcs, Psychological Assessment, A-116-b, Tacoma, WA 98493-5000 | 2006-08-16 |
1518971332 | Edwin Lawrence Hill | Clinical Neuropsychologist | 2013 So 19th, Tacoma, WA 98405-2920 | 2006-07-28 |
1023049343 | Lance A Harris | Clinical Neuropsychologist | 3001 E J St, Tacoma, WA 98404-3220 | 2006-07-05 |
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.