Active NPI
Patricia A Marek, PHD
- Psychologist
- Bellingham, WA
National Provider Identifier
1023223419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY00000756
- Practice address
- 1201 11TH Street Suite 201
Bellingham, WA 98225-7065 - Phone
- (360) 647-2808
- Fax
- (360) 752-0037
- NPI assigned
- May 11, 2007
- Last updated
- Mar 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY00000756 | WA | Primary |
| Cognitive & Behavioral Psychologist | 103TB0200X | PY00000756 | WA | |
| Clinical Psychologist | 103TC0700X | PY00000756 | WA | |
| Health Psychologist | 103TH0004X | PY00000756 | WA | |
| Health Service Psychologist | 103TH0100X | PY00000756 | WA | |
| Group Psychotherapy Psychologist | 103TP2701X | PY00000756 | WA |
Addresses
Primary practice location
1201 11TH Street Suite 201
Bellingham, WA 98225-7065
Mailing address
1201 11TH Street Suite 201
Bellingham, WA 98225-7065
Phone (360) 647-2808
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R31834 | Other | UPN | |
| 7012479 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00000756 | WA | MD | Health Service Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1023223419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 11TH STREET SUITE 201",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982257065",
"telephone_number": "360-647-2808",
"fax_number": "360-752-0037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 11TH STREET SUITE 201",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982257065",
"telephone_number": "360-647-2808",
"fax_number": "360-752-0037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAREK",
"first_name": "PATRICIA",
"middle_name": "A",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY00000756",
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "WA",
"license": "PY00000756",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY00000756",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "WA",
"license": "PY00000756",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "WA",
"license": "PY00000756",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "WA",
"license": "PY00000756",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPN",
"identifier": "R31834",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7012479",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
- Marcey Mansolillo, LICSW
- Timothy M Manzo, D.O.
- Katrina Maple
- Sean Marcella, DC
- Marcus a Fairbanks DDS & Darcy R Galbraith,
- Anthony Andrew Marfin, M.D.
- Cheryl Lynn Marier, MD
- Marijoyce R. Leynes, DDS, MSD, P.S., Inc. (Cascade Oral Medicine Inc., P.S.)
- Marilene Silva (Empowered Force Counseling PLLC)
- Lauren Marino, LMP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.