Point Defiance Psychology

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

POINT DEFIANCE PSYCHOLOGY

Practice address

2711 N 21St St
Tacoma, WA 98406-7519

Phone

(253) 355-5766

Fax

(253) 944-9188

NPI assigned

Apr 16, 2025

Last updated

Apr 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Moore, PHDNPI 1578884789

Title

Psychologist

Phone

(253) 355-5766

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Tad Moore, PHD

  • Psychologist
  • Tacoma, WA
  • NPI 1578884789
  NPD Authorized official

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1275329450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4522 JEAN CT W",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984661329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 N 21ST ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984067519",
            "telephone_number": "253-355-5766",
            "fax_number": "253-944-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINT DEFIANCE PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "253-355-5766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sundari Poegoeh, PHARMD
• Nancy Anne Poffenberger, PA-C; RPH
• James Wesley Pogue Jr., MBA
• Larry F. Pogue, M.D.
• Elizabeth Carol Pohlson, M.D.
• Shalisa Pointer
• Helina Pokhrel
• Polaris Family Counseling Services LLC
• Renee Pollack, PA-C
• Kelsey Pollard, L.AC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.