Organization Active NPI

South Sound Neuropsychology Inc.

  • Clinical Neuropsychologist
  • Olympia, WA
National Provider Identifier
1174796833
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY00002390 Issued in WA
Legal business name
SOUTH SOUND NEUROPSYCHOLOGY INC.
Practice address
108 22ND Ave SW
Suite 14
Olympia, WA 98501-2871
Phone
(360) 402-5523
Fax
(360) 786-5250
NPI assigned
Apr 2, 2008
Last updated
Apr 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Dr. Howard A Lloyd, PSY.D.NPI 1154408383
Title
President/Owner
Phone
(360) 402-5523

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
Clinical Neuropsychologist 103G00000X PY00002390 WA Primary

Addresses

Primary practice location

108 22ND Ave SW
Suite 14
Olympia, WA 98501-2871

Mailing address

PO Box 4152
Tumwater, WA 98501-0152
Phone (360) 402-5523

National Provider Directory

National Provider Directory

Locations

108 22nd Ave SW
Ste 14
Olympia, WA 98501
Phone (360) 402-5523

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1174796833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4152",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985010152",
            "telephone_number": "360-402-5523",
            "fax_number": "360-786-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 22ND AVE SW",
            "address_2": "SUITE 14",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012871",
            "telephone_number": "360-402-5523",
            "fax_number": "360-786-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SOUND NEUROPSYCHOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "360-402-5523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WA",
            "license": "PY00002390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.