Cynthia Elaine Parker, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY6245063 Issued in WA

Practice address

612 E 17TH St
Vancouver, WA 98663-3428

Phone

(360) 904-9398

Fax

(360) 368-8747

NPI assigned

Jan 22, 2013

Last updated

Mar 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vancouver Psychological and Counseling Services, PLLC

  • Clinical Psychologist
  • Vancouver, WA
  • NPI 1548021074
  NPD Authorized official
• Naomi Steinberg PHD Inc

  • Psychologist
  • Portland, OR
  • NPI 1003961954
  NPD (past)

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1043558307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 NE HIGHWAY 99 STE G185",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658799",
            "telephone_number": "360-904-9398",
            "fax_number": "360-368-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 E 17TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633428",
            "telephone_number": "360-904-9398",
            "fax_number": "360-368-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "CYNTHIA",
        "middle_name": "ELAINE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY6245063",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60245063",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRY",
            "identifier": "SWV0179425-02",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2027677",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yon Joo Park, M.D.
• Aaron Butch Parker, M.D.
• Alissa Cottle Parker
• Arabella Parker
• Brittany Parker
• Elizabeth Elaine Oshrin Parker, MA
• Eve Sarah Parker, LICSW
• Gregory Scott Parker, DMD
• Joanne Pascarella Parker, M.D.
• Kathryn Parker

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.