Wellness and Rehabilitation Psychological Services, PLLC

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

License

PY60137402 Issued in WA

Legal business name

WELLNESS AND REHABILITATION PSYCHOLOGICAL SERVICES, PLLC

Practice address

10016 Edmonds Way Ste C121
Edmonds, WA 98020-5107

Phone

(206) 445-2664

NPI assigned

Feb 9, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Stevenson Jutte, PHDNPI 1689980302

Title

Owner

Phone

(206) 445-2664

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Stevenson Jutte, MPH, PHD

  • Rehabilitation Psychologist
  • Edmonds, WA
  • NPI 1689980302

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589760000000",
    "number": "1225537798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10016 EDMONDS WAY STE C121",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980205107",
            "telephone_number": "206-445-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10016 EDMONDS WAY STE C121",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980205107",
            "telephone_number": "206-445-2664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Olive Way Ste 204",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981011726",
            "country_code": "US",
            "telephone_number": "206-329-5255 x315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLNESS AND REHABILITATION PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-09",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A",
        "authorized_official_last_name": "JUTTE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "STEVENSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-445-2664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60137402",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "WA",
            "license": "PY60137402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689980302",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary C. Weber, ARNP
• Craig Kalvin Webster, BA, CDP
• Steven M Weible
• Michael A Weiford
• Barbara Weiss, LH00008622
• Barbara Ann West, RN
• Shawn H West, M.D.
• Cynthia Sadler Whalen, M.S.
• Aiyana Aisha Taryn White, LMT
• Laura C White, DPT

• Rehabilitation Psychologist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Rehabilitation Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.