NPIMap

Organization Active NPI

Northwest Psychological Services, Inc.

  • Clinical Psychologist
  • Gig Harbor, WA
National Provider Identifier
1366786154
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
601426340 Issued in WA
Legal business name
NORTHWEST PSYCHOLOGICAL SERVICES, INC.
Practice address
3309 56TH St NW
Ste 101
Gig Harbor, WA 98335-8572
Phone
(253) 851-3141
Fax
(253) 851-3155
NPI assigned
Nov 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Authorized official

Name
Ellie F Sternquist, PHD
Title
President/Director
Phone
(253) 851-3141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 601426340 WA Primary

Addresses

Primary practice location

3309 56TH St NW
Ste 101
Gig Harbor, WA 98335-8572

Mailing address

3309 56TH St NW
Ste 101
Gig Harbor, WA 98335-8572
Phone (253) 851-3141

National Provider Directory

National Provider Directory

Locations

3309 56th St
Ste 101
Gig Harbor, WA 98335
Phone (253) 851-3141

Practitioners & affiliated clinicians

Practitioners 4

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": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1366786154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 56TH ST NW",
            "address_2": "STE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358572",
            "telephone_number": "253-851-3141",
            "fax_number": "253-851-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 56TH ST NW",
            "address_2": "STE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358572",
            "telephone_number": "253-851-3141",
            "fax_number": "253-851-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "STERNQUIST",
        "authorized_official_first_name": "ELLIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "253-851-3141",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "601426340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.