Miriam Erickson, PH.D., PS

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2230 Issued in WA

Legal business name

MIRIAM ERICKSON, PH.D., PS

Practice address

1409 Franklin St
Suite 203
Vancouver, WA 98660-2899

Phone

(360) 693-1333

Fax

(360) 448-7337

NPI assigned

Mar 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Miriam Anne Erickson, PH.D.NPI 1841400876

Title

Psychologist/ President

Phone

(360) 693-1333

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miriam Anne Erickson, PH.D.

  • Clinical Psychologist
  • Vancouver, WA
  • NPI 1841400876
  NPD (past) Authorized official

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1073754123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 FRANKLIN ST",
            "address_2": "SUITE 203",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602899",
            "telephone_number": "360-693-1333",
            "fax_number": "360-448-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 FRANKLIN ST",
            "address_2": "SUITE 203",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602899",
            "telephone_number": "360-693-1333",
            "fax_number": "360-448-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIAM ERICKSON, PH.D., PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PSYCHOLOGIST/ PRESIDENT",
        "authorized_official_telephone_number": "360-693-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "2230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greta Louise Miracle, PA-C
• Teresa Miramontes, MD
• Mona Mirchandani, D.O.
• Thomas Kelly Livingston Mirchel, DDS,MD
• Nathan Mireles
• Anthony A. Miriello, M.A.
• Sonja Miriello, M.S. CCC-SLP
• Alan K Mirly, PA
• Mirror Pond Dental, LLC
• Danish Mirza, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.