Roland I Barach PHD PS

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

555 Issued in WA

Legal business name

ROLAND I BARACH PHD PS

Practice address

8015 SE 28TH St
#201
Mercer Island, WA 98040-2910

Phone

(206) 439-1762

NPI assigned

Jul 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Roland Barach, PHDNPI 1134278070

Title

President

Phone

(206) 439-1762

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

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

• Roland Barach, PH.D.

  • Clinical Psychologist
  • Mercer Island, WA
  • NPI 1134278070
  Medicare reassignment Care Compare group NPD Authorized official
• Phyllis Fiedler, PHD

  • Clinical Psychologist
  • Mercer Island, WA
  • NPI 1164571014
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1255530804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1333",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980401333",
            "telephone_number": "206-439-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 SE 28TH ST",
            "address_2": "#201",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402910",
            "telephone_number": "206-439-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLAND I BARACH PHD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "BARACH",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-439-1762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "555",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "583",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Whitelaw Rieke, M.D.
• Elizabeth Rigsbee, DPT
• Kathryn Ristuben
• Robin Angus Physical Therapy, PLLC
• Kevin David Rodas Galindo, PMHNP
• Aubrey Patrice Rose, PSY.D.
• Linda Rosenstock, MD
• Andrew Rosenthal, BA, MBA
• Leonard Rosoff Jr., M.D.
• Hermine Rubenstein, MSW

• Clinical Psychologist in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.