Ariel Paulenich, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 60616293 Issued in WA

Practice address

2413 Main St Ste 204
Ferndale, WA 98248-8827

Phone

(360) 296-3989

NPI assigned

Dec 19, 2016

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Paulenich Mental Health

  • Psychologist
  • Ferndale, WA
  • NPI 1972160265
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1114462645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3134",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982483134",
            "telephone_number": "360-296-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 MAIN ST STE 204",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982488827",
            "telephone_number": "360-296-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULENICH",
        "first_name": "ARIEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY 60616293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optimalrx Solutions, LLC
• Evan R Palmer, DPT
• Janelle Elizabeth Park, LMT
• Devin Parks
• Paulenich Mental Health
• Terri Payne, RDH
• Perfect Smile Orthodontics PLLC
• Sue Ann Perna
• Sarah Elizabeth Peterson, MD
• Crystal Dawn Phipps, PHARMD.

• Clinical Psychologist in Ferndale, WA
• Providers in Ferndale, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.