Active NPI
Mercer Island Psychology
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mercer Island, WA
National Provider Identifier
1083196232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Jones, PSYD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Psychologist
- Bellevue, WA
- NPI 1336473297
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
- Mercer Island Foot and Ankle Clinic PLLC
- Mercer Island Health and Wellness
- Mercer Island Medical Imaging, LLC
- Mercer Island Pediatric Associates
- Mercer Island Pediatric Dentistry
- Mercer Island School District
- Mercer Island Therapy, PLLC
- Nadeem Merchant, DMD
- Mike Gile DDS PLLC
- Karin L. Miller, MSW, LICSW
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.