Organization Active NPI

Redmon Psychological Services, Incorporated

  • Clinical Psychologist
  • Snohomish, WA
National Provider Identifier
1134531817
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY00003507 Issued in WA
Legal business name
REDMON PSYCHOLOGICAL SERVICES, INCORPORATED
Practice address
316 Maple Ave # B
Snohomish, WA 98290-2526
Phone
(206) 380-6142
Fax
(360) 863-2469
NPI assigned
May 29, 2014
Last updated
Nov 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Linda Redmon
Title
Secretary, Treasurer, Office MGR
Phone
(206) 501-9287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY00003507 WA Primary

Addresses

Primary practice location

316 Maple Ave # B
Snohomish, WA 98290-2526

Mailing address

1429 Avenue D # 423
Snohomish, WA 98290-1742
Phone (206) 501-9287

Other names 1

  • Marc Redmon Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1134531817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 AVENUE D # 423",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982901742",
            "telephone_number": "206-501-9287",
            "fax_number": "360-863-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MAPLE AVE # B",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902526",
            "telephone_number": "206-380-6142",
            "fax_number": "360-863-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDMON PSYCHOLOGICAL SERVICES, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "REDMON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "SECRETARY, TREASURER, OFFICE MGR",
        "authorized_official_telephone_number": "206-501-9287"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00003507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marc Redmon",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.