DR. CAROLYN ELIZABETH MANGELSDORF


Address: 3123 Fairview Ave E, Suite C, Seattle, WA 98102-3051
Phone: 2063246308

DR. CAROLYN ELIZABETH MANGELSDORF (NPI# 1942407358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942407358
Entity Type Individual
Full Name DR. CAROLYN ELIZABETH MANGELSDORF
Credential PH.D.
Practice Address 3123 Fairview Ave E
Suite C
Seattle
WA 98102-3051
Practice Telephone 2063246308
Mailing Telephone 2063246308
Enumeration Date 2007-06-29
Last Update Date 2009-06-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PY00001960 WA Behavioral Health & Social Service Providers

Office Location

Street Address 3123 FAIRVIEW AVE E
SUITE C
City SEATTLE
State WA
Zip Code 98102-3051

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043315187 Susan Willis Psychiatry & Neurology 3123 Fairview Ave E, Seattle, WA 98102-3051 2006-09-13
1700275419 Kennedy Therapy Marriage & Family Therapist 3123 Fairview Ave E, Seattle, WA 98102-3051 2015-01-19
1831525518 Olivia Tarr Marriage & Family Therapist 3123 Fairview Ave E, Seattle, WA 98102-3051 2013-09-25
1851664973 Michelle Lee Byrd Counselor 3123 Fairview Ave E, Suite 2a, Seattle, WA 98102-3051 2012-02-21
1063748960 Brien Richard Wood Counselor 3123 Fairview Ave E, Seattle, WA 98102-3051 2009-10-27
1518126457 Stephanie Buell Rooney Psychologist 3123 Fairview Ave E, Suite C, Seattle, WA 98102-3051 2008-06-05
1265631477 Candice Boley Psychiatry & Neurology 3123 Fairview Ave E, Suite E, Seattle, WA 98102-3051 2007-07-17
1932254992 Shaun Anthony Rich Counselor 3123 Fairview Ave E, Suite C, Seattle, WA 98102-3051 2007-01-23
1215080858 Charles W Huffine Psychiatry & Neurology 3123 Fairview Ave E, Seattle, WA 98102-3051 2007-01-18
1457404089 Carol Cole Psychologist 3123 Fairview Ave E, Seattle, WA 98102-3051 2007-01-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508467549 Karen Adepoju Registered Nurse Karen Adepoju, 1058 E Mercer St., Seattle, WA 98102 2020-11-05
1548745250 Lara Lucia Counselor 2366 Eastlaske Ave E, Suite 335, Seattle, WA 98102 2018-09-27
1801380191 Northwest Integrative Psychotherapy, Inc. P.s. Psychologist 3245 Fairview Ave E Ste 310, Seattle, WA 98102 2018-06-19
1700382488 Sophie Marie Bjorkquist Counselor 431 Boylston Ave E Apt 101, Seattle, WA 98102 2018-04-02
1609309533 Lola Mudgistratova Student in an Organized Health Care Education/Training Program 2339 Boylston Ave W, #2, Seattle, WA 98102 2017-04-07
1013463371 Mamiko Kuriya Dds Ps Clinic/Center 530 Broadway East, Apt #502, Seattle, WA 98102 2016-08-28
1912369638 Kyle M. Forrest Counselor 3123 Fairview Ave E., Suite 204, Seattle, WA 98102 2016-03-22
1215311642 Seattle Therapy Services LLC Occupational Therapist 2517 Eastlake Ave E., Suite 102, Seattle, WA 98102 2015-07-15
1134509458 Broadway Dental Center, Inc. Clinic/Center 310 Harvard Ave. E., Seattle, WA 98102 2015-06-02
1871970343 Deborah J. Patterson Counselor 2366 Eastlake Ave. E., #423, Seattle, WA 98102 2015-05-04
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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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
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Competitor

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City SEATTLE
Zip Code 98102

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Dataset Information

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.

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