Edmonds Psychological and Pastoral Care

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY00002808 Issued in WA

Legal business name

EDMONDS PSYCHOLOGICAL AND PASTORAL CARE

Practice address

126 3Rd Ave N
Suite 102
Edmonds, WA 98020-3219

Phone

(206) 550-0783

NPI assigned

Dec 8, 2016

Organization subpart

No

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

Authorized official

Name

Sarah Colyn

Title

Owner

Phone

(206) 550-0783

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1023552106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7708 234TH ST SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268836",
            "telephone_number": "206-550-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 3RD AVE N",
            "address_2": "SUITE 102",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203219",
            "telephone_number": "206-550-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMONDS PSYCHOLOGICAL AND PASTORAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "COLYN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-550-0783"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00002808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.