Terry S Oneil PHD PS

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00002323 Issued in WA

Legal business name

TERRY S ONEIL PHD PS

Practice address

1800 112TH Ave NE
Suite 322E
Bellevue, WA 98004-2938

Phone

(425) 990-9840

Fax

(425) 990-8899

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Terry S O'Neil, PHD

Title

President

Phone

(425) 990-9840

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1154432078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52842",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980152842",
            "telephone_number": "425-990-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 112TH AVE NE",
            "address_2": "SUITE 322E",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042938",
            "telephone_number": "425-990-9840",
            "fax_number": "425-990-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY S ONEIL PHD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "O'NEIL",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-990-9840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00002323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.