Active NPI
Christian Psychological Services, Inc
- Clinical Psychologist
- Vancouver, WA
National Provider Identifier
1275740664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY00002945
- Legal business name
- CHRISTIAN PSYCHOLOGICAL SERVICES, INC
- Practice address
- 305 NE 192ND Ave
Vancouver, WA 98684-7524 - Phone
- (360) 213-0077
- NPI assigned
- May 17, 2007
- 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. Donald R Woods, PH.D.
- Title
- President
- Phone
- (360) 213-0077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY00002945 | WA | Primary |
Addresses
Primary practice location
305 NE 192ND Ave
Vancouver, WA 98684-7524
Mailing address
PO Box 87027
Vancouver, WA 98687-7027
Phone (360) 213-0077
National Provider Directory
National Provider DirectoryLocations
305 NE 192nd Ave
Vancouver, WA 98684
Phone (360) 213-0077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257897600000",
"number": "1275740664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 87027",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986877027",
"telephone_number": "360-213-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 NE 192ND AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986847524",
"telephone_number": "360-213-0077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTIAN PSYCHOLOGICAL SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2009-11-11",
"status": "A",
"authorized_official_last_name": "WOODS",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "360-213-0077",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY00002945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.