Organization Active NPI

Sound Psychological Associates PS

  • Psychologist
  • University Place, WA
National Provider Identifier
1023050523
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY00000297 Issued in WA
Legal business name
SOUND PSYCHOLOGICAL ASSOCIATES PS
Practice address
2607 Bridgeport Way W
2E2
University Place, WA 98466-4700
Phone
(253) 272-7761
Fax
(253) 383-2385
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Authorized official

Name
David Cornwell Brose, PHD
Title
Psychologist
Phone
(253) 272-7761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY00000297 WA Primary

Addresses

Primary practice location

2607 Bridgeport Way W
2E2
University Place, WA 98466-4700

Mailing address

2607 Bridgeport Way W
2E2
University Place, WA 98466-4700
Phone (253) 272-7761

Other names 1

  • SOUND PSCH. ASSOC., P.S. Other name

National Provider Directory

National Provider Directory

Locations

2607 Bridgeport Way W
Ste 2E2
University Place, WA 98466
Phone (253) 272-7761

2607 Bridgeport Way W
University Place, WA 98466
Phone (253) 272-7761

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264723200000",
    "number": "1023050523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 BRIDGEPORT WAY W",
            "address_2": "2E2",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664700",
            "telephone_number": "253-272-7761",
            "fax_number": "253-383-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 BRIDGEPORT WAY W",
            "address_2": "2E2",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664700",
            "telephone_number": "253-272-7761",
            "fax_number": "253-383-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND PSYCHOLOGICAL ASSOCIATES PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2010-01-29",
        "status": "A",
        "authorized_official_last_name": "BROSE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CORNWELL",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "253-272-7761",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00000297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUND PSCH. ASSOC., P.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.