Organization Active NPI

Felicia Mueller PLLC

  • Clinical Psychologist
  • Forks, WA
National Provider Identifier
1346484086
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY00003795 Issued in WA
Legal business name
FELICIA MUELLER PLLC
Practice address
51 N Spartan Ave
Suite B
Forks, WA 98331-9051
Phone
(360) 374-6060
NPI assigned
Apr 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

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

Authorized official

Name
Dr. Felicia Ann Mueller, PSY.D.
Title
Psychologist
Phone
(360) 374-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY00003795 WA Primary

Addresses

Primary practice location

51 N Spartan Ave
Suite B
Forks, WA 98331-9051

Mailing address

751 J St
Forks, WA 98331-9165
Phone (360) 374-6060

Other identifiers 3

IdentifierTypeStateIssuer
6435MVOtherWAREGENCE
11819500OtherWAAETNA
8871134OtherWAMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

1135 Lawrence St
Ste A
Port Townsend, WA 98368
Phone (360) 379-2662

509 Olive Way
Ste 1434
Seattle, WA 98101
Phone (206) 701-7199

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1346484086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 J ST",
            "city": "FORKS",
            "state": "WA",
            "postal_code": "983319165",
            "telephone_number": "360-374-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 N SPARTAN AVE",
            "address_2": "SUITE B",
            "city": "FORKS",
            "state": "WA",
            "postal_code": "983319051",
            "telephone_number": "360-374-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELICIA MUELLER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "360-374-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00003795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "6435MV",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "11819500",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "8871134",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forks, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.