Active NPI
Marian Birch, D.M.H.
- Psychologist
- Port Angeles, WA
National Provider Identifier
1245388602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1906
- Practice address
- 113 S Eunice St
Port Angeles, WA 98362-3333 - Phone
- (360) 417-3065
- Fax
- (360) 417-3065
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1906 | WA | Primary |
Addresses
Primary practice location
113 S Eunice St
Port Angeles, WA 98362-3333
Mailing address
PO Box 1507
113 South Eunice Street
Port Angeles, WA 98362-0185
Phone (360) 417-3065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1906 | WA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emily Landis Licsw PLLC | Past | Accepting new patients | |
| Carol J Oas MN Arnp Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Port Angeles, WA
- NPI 1750597803
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Port Angeles, WA
- NPI 1629589866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245388602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1507",
"address_2": "113 SOUTH EUNICE STREET",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983620185",
"telephone_number": "360-417-3065",
"fax_number": "360-417-3065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 S EUNICE ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983623333",
"telephone_number": "360-417-3065",
"fax_number": "360-417-3065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRCH",
"first_name": "MARIAN",
"name_prefix": "Dr.",
"credential": "D.M.H.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "1906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.