Dani Nierenberg PHD BCB PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DANI NIERENBERG PHD BCB PLLC

Practice address

108 SE 124TH Ave Ste 12
Vancouver, WA 98684-6015

Phone

(360) 713-8171

Fax

(360) 210-4039

NPI assigned

May 27, 2020

Organization subpart

No

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

Authorized official

Name

Dani Nierenberg, PHD

Title

Owner

Phone

(360) 713-8171

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1265055172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 NW VIEW RIDGE CT",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986079051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SE 124TH AVE STE 12",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846015",
            "telephone_number": "360-713-8171",
            "fax_number": "360-210-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANI NIERENBERG PHD BCB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "NIERENBERG",
        "authorized_official_first_name": "DANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-713-8171",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keri Damsgaard, PMHNP-BC
• Dana J Smith, PLLC
• Gavin Danapong, PHARMD
• Dane M. Andersen, DDS, PLLC
• Mahesh M Dangal, M.D.
• Daniel & Max, LLC
• Daniel E. Wilson, DMD PC
• Daniel J Madden DDS PLLC
• Daniel J Warnock DDS PLLC
• Daniel Milligan ND LLC

• Clinical Psychologist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.