Terilee Wingate, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY00001541 Issued in WA

Practice address

3430 Pacific Ave SE Ste A6
PMB 308
Olympia, WA 98501-2177

Phone

(360) 789-7918

NPI assigned

Feb 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093841298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 PACIFIC AVE SE STE A6",
            "address_2": "PMB 308",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012177",
            "telephone_number": "360-789-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 PACIFIC AVE SE STE A6",
            "address_2": "PMB 308",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012177",
            "telephone_number": "360-789-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGATE",
        "first_name": "TERILEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00001541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tess E. Wilson, PT, DPT
• Tricia Anne Wiltse, MA, LMHC
• Thomas L Winckler, PA-C
• Andrew Edward Winfree, CPSS
• Bruce A Wing, PA-C
• Winter and Buhr PLLC
• Amy Balettie Winter, D.P.M.
• Jennifer E Winter, PA-C
• Kyle Evan Winter, D.D.S.
• Brian Wirkus, PA-C

• Psychologist in Olympia, WA
• Providers in Olympia, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.