Peter T Nguyen PHD PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

PETER T NGUYEN PHD PLLC

Doing business as

Evergreen Sound Psychology

Practice address

4208 198TH St SW Ste 101D
Lynnwood, WA 98036-6736

Phone

(360) 851-9867

NPI assigned

Nov 19, 2024

Organization subpart

No

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

Authorized official

Name

Peter Nguyen, PHDNPI 1073032231

Title

Owner

Phone

(360) 851-9867

Specialties & licenses 1

Addresses

Other names 1

• Evergreen Sound Psychology Doing business as

Locations

Practitioners 1

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

• Peter Thanh Nguyen, PHD

  • Clinical Neuropsychologist
  • Lynnwood, WA
  • NPI 1073032231
  NPD Authorized official

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1225853898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 198TH ST SW STE 101D",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 198TH ST SW STE 101D",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366736",
            "telephone_number": "360-851-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER T NGUYEN PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-851-9867",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Sound Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Performance Modalities Inc (Performance Home Medical)
• Manuela Perkins, RPH CGP
• Edward H Perkl, DDS
• David Perlman, BA, NCAC II
• Sydney Person
• Michael J. Peters, M.D.
• Melissa Anne Petersen, MA, CCC-SLP
• Andrew Peterson, LMT
• Gabrielle Leilani Peterson, MSW
• Steven Scott Petitte

• Clinical Neuropsychologist in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Clinical Neuropsychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.