NPIMap

Organization Active NPI

Wandee J. Pryor, Psy.D., LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Poulsbo, WA
National Provider Identifier
1376043232
Registry record updated Feb 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
PY60412791 Issued in WA
Legal business name
WANDEE J. PRYOR, PSY.D., LLC
Practice address
20174 Front St NE
Poulsbo, WA 98370-7445
Phone
(360) 607-1141
NPI assigned
Feb 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2018

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

Authorized official

Name
Mrs. Wandee Johnson Pryor, PSYDNPI 1831385624
Title
Psychologist
Phone
(646) 418-2652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X PY60412791 WA Primary

Addresses

Primary practice location

20174 Front St NE
Poulsbo, WA 98370-7445

Mailing address

PO Box 1611
Poulsbo, WA 98370-0197
Phone (360) 697-1141

Other names 1

  • Wandee J. Pryor, Psy.D., LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

20174 Front St NE
Poulsbo, WA 98370
Phone (360) 626-9034

Practitioners & affiliated clinicians

Practitioners 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1518825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518825600000",
    "number": "1376043232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1611",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983700197",
            "telephone_number": "360-697-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20174 FRONT ST NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707445",
            "telephone_number": "360-607-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDEE J. PRYOR, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-17",
        "last_updated": "2018-02-17",
        "status": "A",
        "authorized_official_last_name": "PRYOR",
        "authorized_official_first_name": "WANDEE",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "646-418-2652",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "PY60412791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wandee J. Pryor, Psy.D., LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2018; 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.