NPIMap

Organization Active NPI

Marcia Houdek Jimenez, PH.D.

  • Clinical Psychologist
  • Redmond, WA
National Provider Identifier
1104183722
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
683 Issued in WA
Legal business name
MARCIA HOUDEK JIMENEZ, PH.D.
Practice address
8301 161St Ave NE
Ste 300
Redmond, WA 98052-3858
Phone
(425) 885-3330
Fax
(425) 702-2474
NPI assigned
Apr 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Authorized official

Name
Dr. Marcia Houdek Jimenez, PH.D.
Title
President
Phone
(425) 488-7347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 683 WA Primary

Addresses

Primary practice location

8301 161St Ave NE
Ste 300
Redmond, WA 98052-3858

Mailing address

8301 161St Ave NE
Ste 300
Redmond, WA 98052-3858
Phone (425) 885-3330

National Provider Directory

National Provider Directory

Locations

8301 161st Ave NE
Ste 300
Redmond, WA 98052
Phone (206) 885-3330

Practitioners & affiliated clinicians

Practitioners 7

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": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1104183722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 161ST AVE NE",
            "address_2": "STE 300",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523858",
            "telephone_number": "425-885-3330",
            "fax_number": "425-702-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 161ST AVE NE",
            "address_2": "STE 300",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523858",
            "telephone_number": "425-885-3330",
            "fax_number": "425-702-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCIA HOUDEK JIMENEZ, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "HOUDEK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-488-7347",
        "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": "683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.