Paul Samuelson Pmhnp-BC, Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PAUL SAMUELSON PMHNP-BC, INC

Doing business as

Whidbey Integrative Mental Health

Practice address

919 3Rd St Ste 101
Langley, WA 98260-9229

Phone

(360) 205-4560

NPI assigned

May 23, 2019

Last updated

Aug 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashley Cerny, ARNPNPI 1982987525

Title

Owner, Nurse Practitioner

Phone

(805) 448-5292

Specialties & licenses 1

Addresses

Other names 1

• Whidbey Integrative Mental Health Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashley Marie Cerny, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Langley, WA
  • NPI 1982987525
  NPD (past) Authorized official

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1033776133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1251",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982601251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 3RD ST STE 101",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982609229",
            "telephone_number": "360-205-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL SAMUELSON PMHNP-BC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "CERNY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER, NURSE PRACTITIONER",
        "authorized_official_telephone_number": "805-448-5292",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whidbey Integrative Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Whidbey Integrative Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelby Serena Newbauer-Hinders, LICSW
• Katherine A. Norwood, LMP
• Carol Elizabeth O'Brien, LAC
• Megan Ostermick-Durkee, LICSW
• Hillery Brook Partin Falke, MSW, LICSW
• Rachel E Pennington
• Lucia Perasso Blackwell, LMHC
• Amy L Peterson, LMHCA
• Frank G Ploof, DDS
• Carrie Melissa Pope, LICSW

• Psychiatric/Mental Health Nurse Practitioner in Langley, WA
• Providers in Langley, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.