Elizabeth Nicole Stclair, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY60881040 Issued in WA

Practice address

3757 Freighter PL
Bremerton, WA 98312-5503

Phone

(360) 830-6083

NPI assigned

Dec 29, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1265949234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BROADWAY SUITE 100",
            "address_2": "PMB 94974",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021407",
            "telephone_number": "319-541-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3757 FREIGHTER PL",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983125503",
            "telephone_number": "360-830-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STCLAIR",
        "first_name": "ELIZABETH",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-29",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60881040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Pasco Starling, NP-C, MSN
• Cassandra Starn
• Andrea Elizabeth Starr, CG
• Stat Medical Inc
• Cory Staton, MA
• Michael B Steele, MD
• Douglas David Steffy, DDS
• Emily Stefhon
• Brianne L Stegeman
• Brian Stephen Stegmair, DO

• Psychologist in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Psychologist in Washington

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