Organization Active NPI

Mercer Island Psychology

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mercer Island, WA
National Provider Identifier
1083196232
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MERCER ISLAND PSYCHOLOGY
Practice address
2448 76TH Ave SE Ste 201
Mercer Island, WA 98040-2744
Phone
(310) 709-2056
NPI assigned
Sep 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Authorized official

Name
Elizabeth Jones, PSYDNPI 1336473297
Title
Psychologist
Phone
(310) 709-2056

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2448 76TH Ave SE Ste 201
Mercer Island, WA 98040-2744

Mailing address

112 32ND Ave
Seattle, WA 98122-6326
Phone (310) 709-2056

National Provider Directory

National Provider Directory

Locations

2448 76th Ave SE
Ste 201
Mercer Island, WA 98040
Phone (206) 618-3662

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536019200000",
    "number": "1083196232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 32ND AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226326",
            "telephone_number": "310-709-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 76TH AVE SE STE 201",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402744",
            "telephone_number": "310-709-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER ISLAND PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "310-709-2056",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.