Organization Active NPI

Meaningful Life Psychology PLLC

  • Clinical Psychologist
  • Olympia, WA
National Provider Identifier
1013437698
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY24920 Issued in CA
Legal business name
MEANINGFUL LIFE PSYCHOLOGY PLLC
Practice address
2024 Caton Way SW Ste 102
Olympia, WA 98502-8201
Phone
(619) 284-2535
NPI assigned
Jun 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anne Katrin GillespieNPI 1447599691
Title
Owner
Phone
(619) 284-2535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY24920 CA Primary

Addresses

Primary practice location

2024 Caton Way SW Ste 102
Olympia, WA 98502-8201

Mailing address

5100 Marlborough Dr
San Diego, CA 92116-2020
Phone (619) 284-2535

National Provider Directory

National Provider Directory

Locations

5100 Marlborough Dr
San Diego, CA 92116
Phone (619) 567-7399

2024 Caton Way SW
Ste 102
Olympia, WA 98502
Phone (619) 284-2535

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1013437698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 MARLBOROUGH DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162020",
            "telephone_number": "619-284-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 CATON WAY SW STE 102",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028201",
            "telephone_number": "619-284-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEANINGFUL LIFE PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "KATRIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-284-2535"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.