Julie Kinn LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

PY60112770 Issued in WA

Legal business name

JULIE KINN LLC

Practice address

677 Woodland Square Loop SE
Suite B 3
Lacey, WA 98503-1000

Phone

(408) 641-5466

NPI assigned

Aug 25, 2014

Last updated

Aug 25, 2014By 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

Julie Kinn, PH.D.NPI 1720316896

Title

Owner

Phone

(408) 641-5466

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Julie Tamar Kinn, PH.D.

  • Psychologist
  • Lacey, WA
  • NPI 1720316896
  Authorized official Same address or phone
• Nina F. Shecter, PHD

  • Psychologist
  • Lacey, WA
  • NPI 1073653697
  NPD (past)

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1285034439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2083 LAKEMOOR DR SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985125565",
            "telephone_number": "408-641-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 WOODLAND SQUARE LOOP SE",
            "address_2": "SUITE B 3",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031000",
            "telephone_number": "408-641-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE KINN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "KINN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-641-5466",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "PY60112770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronisha Jones
• Anna Joseph
• Joshua Merrell, DDS, PLLC
• Joyland Afh LLC
• JRS Home Care, LLC
• Ha Rin Jung
• K & N Mobile Lab Services L.L.C.
• Elvira V Kadyrova, MD
• Cody Kaech I
• Kristin Marie Kaelin, DMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Lacey, WA
• Providers in Lacey, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.