Organization Active NPI

M. Sue Chenoweth, PSYD, LLC

  • Clinical Psychologist
  • Vancouver, WA
National Provider Identifier
1043459688
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY00003694 Issued in WA
Legal business name
M. SUE CHENOWETH, PSYD, LLC
Practice address
200 E 22ND St
Suite a
Vancouver, WA 98663-3266
Phone
(360) 696-2744
Fax
(360) 696-4811
NPI assigned
Feb 5, 2009
Last updated
Feb 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Authorized official

Name
Dr. Marcia Sue Chenoweth, PSYDNPI 1881628055
Title
Licensed Psychologist
Phone
(360) 696-2744

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 PY00003694 WA Primary

Addresses

Primary practice location

200 E 22ND St
Suite a
Vancouver, WA 98663-3266

Mailing address

200 E 22ND St
Suite a
Vancouver, WA 98663-3266
Phone (360) 696-2744

Other names 1

  • Marcia Sue Chenoweth Other name

National Provider Directory

National Provider Directory

Locations

200 E 22nd St
Ste A
Vancouver, WA 98663
Phone (360) 696-2744

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1043459688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 22ND ST",
            "address_2": "SUITE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633266",
            "telephone_number": "360-696-2744",
            "fax_number": "360-696-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 22ND ST",
            "address_2": "SUITE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633266",
            "telephone_number": "360-696-2744",
            "fax_number": "360-696-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. SUE CHENOWETH, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "CHENOWETH",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "360-696-2744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00003694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marcia Sue Chenoweth",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.