Active NPI
The Collective Wellbeing Psychological Center PLLC
- Clinical Psychologist
- Camas, WA
National Provider Identifier
1275399396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- THE COLLECTIVE WELLBEING PSYCHOLOGICAL CENTER PLLC
- Practice address
- 130 SE Whitney St
Camas, WA 98607-2327 - Phone
- (330) 340-7522
- NPI assigned
- Feb 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brittany Bonner-Dillon, PSYD
- Title
- Owner/Director
- Phone
- (330) 340-7522
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
130 SE Whitney St
Camas, WA 98607-2327
Mailing address
130 SE Whitney St
Camas, WA 98607-2327
Phone (330) 340-7522
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Camas, WA
- NPI 1447502737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708905600000",
"number": "1275399396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 SE WHITNEY ST",
"city": "CAMAS",
"state": "WA",
"postal_code": "986072327",
"telephone_number": "330-340-7522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 SE WHITNEY ST",
"city": "CAMAS",
"state": "WA",
"postal_code": "986072327",
"telephone_number": "330-340-7522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE COLLECTIVE WELLBEING PSYCHOLOGICAL CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-26",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A",
"authorized_official_last_name": "BONNER-DILLON",
"authorized_official_first_name": "BRITTANY",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "330-340-7522",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camas, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.