Vanessa Dzivakwe, PHD, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PY 60666097 Issued in WA

Legal business name

VANESSA DZIVAKWE, PHD, PLLC

Practice address

509 Olive Way Ste 204
Seattle, WA 98101-1726

Phone

(206) 329-5255

Fax

(206) 726-1878

NPI assigned

Oct 4, 2016

Last updated

Jul 21, 2022By 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

Vanessa Dzivakwe, PHDNPI 1013340793

Title

Owner

Phone

(206) 329-5255

Specialties & licenses 1

Addresses

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.

• Vanessa G Dzivakwe, PHD

  • Psychologist
  • Seattle, WA
  • NPI 1013340793
  Authorized official Same address or phone

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1053861955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011726",
            "telephone_number": "206-329-5255",
            "fax_number": "206-726-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011726",
            "telephone_number": "206-329-5255",
            "fax_number": "206-726-1878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "818 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981224410",
            "country_code": "US",
            "telephone_number": "206-329-5255 x302",
            "fax_number": "206-726-1878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VANESSA DZIVAKWE, PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DZIVAKWE",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-329-5255",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "PY 60666097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Vandeusen, PH.D.
• Amber Vanduyn, PHARM.D.
• Lauren Helene Vandyken, DPT
• Lilian Vanek
• Kevin Nhat Vanent, MD
• Morgan Rose Vanfleet
• Tsim Nou Vang, PHARMD
• Russell Vangelder, M.D.
• Daniel Vangen, CRNA
• Divya Vangipuram Wyatt, MD

• Community/Behavioral Health Agency in Seattle, WA
• Providers in Seattle, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.