Organization Active NPI

Psychological Consulting Services LLC

  • Clinical Psychologist
  • Tacoma, WA
National Provider Identifier
1104503473
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
PSYCHOLOGICAL CONSULTING SERVICES LLC
Doing business as
THRIVE Mind & Body Psychology
Practice address
252 Broadway
Unit 611
Tacoma, WA 98402-4003
Phone
(253) 325-8044
NPI assigned
Jun 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Authorized official

Name
Dr. Kimberly Gabrielle Patterson-Hyatt, PSY.D.,M.S., M.A.
Title
Clinical Psychology Director Andceo
Phone
(347) 266-6748

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Health PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0004X

Addresses

Primary practice location

252 Broadway
Unit 611
Tacoma, WA 98402-4003

Mailing address

252 Broadway
Unit 611
Tacoma, WA 98402-4003
Phone (253) 325-8044

Other names 1

  • THRIVE Mind & Body Psychology Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1104503473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 BROADWAY",
            "address_2": "UNIT 611",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024003",
            "telephone_number": "253-325-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 BROADWAY",
            "address_2": "UNIT 611",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024003",
            "telephone_number": "253-325-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL CONSULTING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "PATTERSON-HYATT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "GABRIELLE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGY DIRECTOR ANDCEO",
        "authorized_official_telephone_number": "347-266-6748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D.,M.S., M.A."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THRIVE Mind & Body Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.