Active NPI
Nancy E Block-Olexick, PH.D.
- Clinical Psychologist
- Enumclaw, WA
National Provider Identifier
1083790133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY1839
- Practice address
- 1110 Stevenson Ave
Suite 206
Enumclaw, WA 98022-2647 - Phone
- (253) 307-9851
- NPI assigned
- Oct 31, 2006
- Last updated
- Jan 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY1839 | WA | Primary |
Addresses
Primary practice location
1110 Stevenson Ave
Suite 206
Enumclaw, WA 98022-2647
Mailing address
PO Box 217
Buckley, WA 98321-0217
Phone (253) 307-9851
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY1839 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356998400000",
"number": "1083790133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 217",
"city": "BUCKLEY",
"state": "WA",
"postal_code": "983210217",
"telephone_number": "253-307-9851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 STEVENSON AVE",
"address_2": "SUITE 206",
"city": "ENUMCLAW",
"state": "WA",
"postal_code": "980222647",
"telephone_number": "253-307-9851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCK-OLEXICK",
"first_name": "NANCY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2013-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY1839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enumclaw, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.