Individual provider Active NPI

Pamela Lyn Sarlund-Heinrich, PSY.D.

  • Clinical Psychologist
  • Lakewood, WA
National Provider Identifier
1174648778
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY00003821 Issued in WA
Practice address
9330 59TH Ave SW
Lakewood, WA 98499-2858
Phone
(253) 620-5761
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY00003821 WA Primary

Addresses

Primary practice location

9330 59TH Ave SW
Lakewood, WA 98499-2858

Mailing address

1002 39TH Ave SW
Ste 206
Puyallup, WA 98373-3805
Phone (253) 435-1866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071213000818 WA Practitioner - Clinical Psychologist 4486744471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1002 39TH Ave SW
Suite 206
Puyallup, WA 98373-3805
Phone (253) 686-7170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY00003821WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pamela Sarlund-Heinrich, P.S. Clinical CurrentSince Nov 1, 2008 Accepting new patients

Locations

1002 39th Ave SW
Ste 206
Puyallup, WA 98373
Phone (253) 435-1867

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1174648778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 39TH AVE SW",
            "address_2": "STE 206",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733805",
            "telephone_number": "253-435-1866",
            "fax_number": "253-584-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 59TH AVE SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992858",
            "telephone_number": "253-620-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARLUND-HEINRICH",
        "first_name": "PAMELA",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00003821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.