Active NPI
Growth and Healing Psychological Services, Inc
- Psychologist
- Tacoma, WA
National Provider Identifier
1154022390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- GROWTH AND HEALING PSYCHOLOGICAL SERVICES, INC
- Practice address
- 401 Broadway Ste 10096827
Tacoma, WA 98402-3900 - Phone
- (206) 339-7327
- NPI assigned
- Mar 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kathleen King, PHD
- Title
- President
- Phone
- (425) 364-6604
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
401 Broadway Ste 10096827
Tacoma, WA 98402-3900
Mailing address
401 Broadway Ste 10096827
Tacoma, WA 98402-3900
Phone (425) 364-6604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
401 Broadway
Ste 10096827
Tacoma, WA 98402
Phone (206) 339-7327
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Tacoma, WA
- NPI 1063644276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679270400000",
"number": "1154022390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 BROADWAY STE 10096827",
"city": "TACOMA",
"state": "WA",
"postal_code": "984023900",
"telephone_number": "425-364-6604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BROADWAY STE 10096827",
"city": "TACOMA",
"state": "WA",
"postal_code": "984023900",
"telephone_number": "206-339-7327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROWTH AND HEALING PSYCHOLOGICAL SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-14",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "425-364-6604",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.