Organization Active NPI

Growth and Healing Psychological Services, Inc

  • Psychologist
  • Tacoma, WA
National Provider Identifier
1154022390
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
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

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Dr. Kathleen King, PHDNPI 1063644276
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)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20230522002049 WA Part B Supplier - Clinic/Group Practice 6204292022 Receives reassigned benefits from 1 practitioner
Practice locations: Kent, WA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.