HIGHLAND CLINICAL SUPPORT, LLC (NPI# 1811528664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811528664 |
| Entity Type | Organization |
| Organization Name | HIGHLAND CLINICAL SUPPORT, LLC |
| Other Organization Name | HIGHLAND PSYCHOLOGICAL SERVICES |
| Practice Address |
3400 Harbor Ave Sw Ste 207 Seattle WA 98126-2396 |
| Mailing Address |
Po Box 46564 Seattle WA 98146-0564 |
| Practice Telephone | 2062905954 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | KATHLEEN MARIE WRUK (MEMBER MANAGER) |
| Authorized Official Telephone | 8159544083 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 103TF0000X |
Psychologist Specialization: Family |
Behavioral Health & Social Service Providers | ||
| N | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1891740197 | 05 |
| Other Name | Type Code |
|---|---|
| Highland Psychological Services | Doing Business As Name - Organization |
| Street Address |
3400 HARBOR AVE SW STE 207 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98126-2396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926341 | Andre L Cherry | Counselor | Navos - West Seattle, 2600 Sw Holden St, Seattle, WA 98126 | 2019-11-07 |
| 1477071314 | Hailey Justine Long | Registered Nurse | 5444 29th Ave Sw, Seattle, WA 98126 | 2017-08-30 |
| 1952824153 | Margaret Jane Oliver | Behavior Technician | 7942 29th Ave Sw, Seattle, WA 98126 | 2017-07-19 |
| 1538610282 | Kathleen Unterreiner Licsw | Community/Behavioral Health | 3261 Sw Avalon Way, Apt 411, Seattle, WA 98126 | 2016-10-18 |
| 1689123507 | Omotade Adeola Mallum | Occupational Therapy Assistant | 9408 35th Ave Sw, Unit B, Seattle, WA 98126 | 2016-10-04 |
| 1598211732 | Christopher Shawn Osler | Physical Therapy Assistant | 7346 32nd Ave Sw, Seattle, WA 98126 | 2016-08-28 |
| 1871989368 | Sara Lynne Smith | Counselor | 5225 35th Avenue South West, Seattle, WA 98126 | 2015-04-10 |
| 1689083032 | Kristine Ellyn Highlander | Nurse Practitioner | 2600 Sw Holden St., Navos Inpatient Services, Seattle, WA 98126 | 2014-08-11 |
| 1346657814 | Buu Bui | Family Medicine | 4550 Fauntleroy Way Sw # Ms 206-01, Seattle, WA 98126 | 2014-07-16 |
| 1598015950 | Kimberly Pendergrass | Social Worker | 2600 S. W. Holden Street, Seattle, WA 98126 | 2012-09-13 |
| Find all providers in zip 98126 | ||||
| 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 |
|---|---|---|---|---|
| 1124638333 | Natalie Elyse Schwartz | Psychologist | 928 Nw 52nd St Unit A, Seattle, WA 98107-3648 | 2020-08-03 |
| 1679116321 | Aspinwall Therapy and Assessment LLC | Psychologist | 2470 Westlake Ave N Ste 101, Seattle, WA 98109-2282 | 2019-10-25 |
| 1285299354 | Herlina Pranata | Psychologist | 1565 Cherrylane Ave S, Seattle, WA 98144-3521 | 2019-05-04 |
| 1083184550 | Robert A Beattey Jr. | Psychologist | 910 10th Ave E Apt 205, Seattle, WA 98102-4556 | 2018-11-27 |
| 1912492828 | One Medical Group of Washington, P.C. | Psychologist | 625 Boren Avenue North, Seattle, WA 98109 | 2018-06-25 |
| 1497263859 | Leah Boisen | Psychologist | 226 Summit Ave E Ste 203, Seattle, WA 98102-5619 | 2018-01-18 |
| 1578073649 | Michelle A Proulx | Psychologist | 614 W Mcgraw St # 202, Seattle, WA 98119-2888 | 2017-10-03 |
| 1225553159 | Jennifer Chain | Psychologist | 5306 Ballard Ave Nw Ste 212, Seattle, WA 98107 | 2017-08-11 |
| 1427571652 | Cory David Secrist | Psychologist | 1417 Nw 54th St Ste 372, Seattle, WA 98107-3575 | 2017-07-19 |
| 1215464953 | Natalie Goodwin | Psychologist | 1127 10th Ave E Ste 2, Seattle, WA 98102-4377 | 2017-05-12 |
| Find all providers in SEATTLE | ||||
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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.