Pacific Psychological Associates

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

PY00001284 Issued in WA

Legal business name

PACIFIC PSYCHOLOGICAL ASSOCIATES

Practice address

1801 1St Ave
Suite 3B
Longview, WA 98632-3270

Phone

(360) 425-3854

Fax

(360) 423-4107

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Helen Ann Keegan

Title

Office Manager

Phone

(360) 425-3854

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie Orr, LMHC

  • Mental Health Counselor
  • Longview, WA
  • NPI 1790018398
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346383353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 LST AVE, SUITE 3B",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "98632",
            "telephone_number": "360-425-3854",
            "fax_number": "360-423-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 1ST AVE",
            "address_2": "SUITE 3B",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323270",
            "telephone_number": "360-425-3854",
            "fax_number": "360-423-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PSYCHOLOGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEEGAN",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-425-3854",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "PY00001284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Renee Owens
• Peace Teniola Oyebode, PHARMD, BS, RPH
• P. Brodie Wood, MD 2 PSC
• Pacific Counseling Services
• Pacific Northwest Urgent Care LLC
• Pacific Urgent Care LLC -an Oregon LLC
• Cynthia Pack
• Sonya M Packard, BS, CDPT
• William Edward Padden, CPC
• Carol Ann Pahlke, PHD

• Preferred Provider Organization in Longview, WA
• Providers in Longview, WA by specialty
• Preferred Provider Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.