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

Last updated

Nov 24, 2014By the provider in NPPES

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, PHDNPI 1790882454

Title

President

Phone

(425) 990-9840

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terry S O'Neil, PHD

  • Clinical Psychologist
  • Bellevue, WA
  • NPI 1790882454
  Authorized official Same address or phone

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.