Active NPI
Felicia Ann Mueller, PSY.D.
- Clinical Psychologist
- Forks, WA
National Provider Identifier
1154514289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY00003795
- Practice address
- 51 N Spartan Ave
Suite B
Forks, WA 98331-9051 - Phone
- (360) 374-6060
- Fax
- (360) 374-6691
- NPI assigned
- Aug 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY00003795 | WA | Primary |
Addresses
Primary practice location
51 N Spartan Ave
Suite B
Forks, WA 98331-9051
Mailing address
751 J St
Forks, WA 98331-9165
Phone (360) 374-6060
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11819500 | Other | WA | REGENCE |
| 11819500 | Other | WA | AETNA |
| 8871134 | Other | WA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00003795 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240531200000",
"number": "1154514289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 J ST",
"city": "FORKS",
"state": "WA",
"postal_code": "983319165",
"telephone_number": "360-374-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 N SPARTAN AVE",
"address_2": "SUITE B",
"city": "FORKS",
"state": "WA",
"postal_code": "983319051",
"telephone_number": "360-374-6060",
"fax_number": "360-374-6691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "FELICIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-22",
"last_updated": "2009-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY00003795",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "11819500",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "11819500",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "8871134",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Forks, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.