Active NPI
Cerise McKenna Vablais, PH.D.
- Clinical Psychologist
- Redmond, WA
National Provider Identifier
1063708469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- TE60228917
- Practice address
- 8290 165TH Ave NE
Redmond, WA 98052-3948 - Phone
- (240) 475-0886
- NPI assigned
- Jun 23, 2011
- Last updated
- Jun 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 04576 | MD | |
| Clinical Psychologist | 103TC0700X | TE60228917 | WA | Primary |
Addresses
Primary practice location
8290 165TH Ave NE
Redmond, WA 98052-3948
Mailing address
PO Box 3093
Annapolis, MD 21403-0093
Phone (240) 475-0886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04576 | MD | MD | Clinical Psychologist |
| TE60228917 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308787200000",
"number": "1063708469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3093",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214030093",
"telephone_number": "240-475-0886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8290 165TH AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523948",
"telephone_number": "240-475-0886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VABLAIS",
"first_name": "CERISE",
"middle_name": "MCKENNA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-23",
"last_updated": "2011-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04576",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "TE60228917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
- Union Hill Healthcare, Inc. (Redmond Care and Rehabilitation Center)
- Uniplex Construction, LLC (Uniplex Construction)
- Amelia Unseth, PT
- Charles E Upton, PHARMD
- Aaron Bradley Urquidez, NSCA-CPT, ACSM-CIFT
- Carole M Vacher
- Rachel Leah Vahlberg, LMT
- Irine L Vaiman, M.D.
- Nelson Valentin Jr., OMD, AP, EAMP
- Richard A Van Der Sluys, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.