Organization Active NPI

Christian Psychological Services, Inc

  • Clinical Psychologist
  • Vancouver, WA
National Provider Identifier
1275740664
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY00002945 Issued in WA
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

Updated by the provider on Nov 11, 2009

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.