NPIMap

Organization Active NPI

Family Psychological Services of Kirkland, PS

  • Clinical Neuropsychologist
  • Kirkland, WA
National Provider Identifier
1376661025
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY1926 Issued in WA
Legal business name
FAMILY PSYCHOLOGICAL SERVICES OF KIRKLAND, PS
Practice address
312 11TH Ave W Ste 201
Kirkland, WA 98033-5326
Phone
(425) 576-1817
Fax
(425) 889-8362
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Guy OramNPI 1588782239
Title
President
Phone
(425) 576-1817

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
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X PY1926 WA Primary

Addresses

Primary practice location

312 11TH Ave W Ste 201
Kirkland, WA 98033-5326

Mailing address

312 11TH Ave W Ste 201
Kirkland, WA 98033-5326
Phone (425) 576-1817

National Provider Directory

National Provider Directory

Locations

312 11th Ave W
Ste 201
Kirkland, WA 98033
Phone (425) 576-1817

Practitioners & affiliated clinicians

Practitioners 5

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1376661025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 11TH AVE W STE 201",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335326",
            "telephone_number": "425-576-1817",
            "fax_number": "425-889-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 11TH AVE W STE 201",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335326",
            "telephone_number": "425-576-1817",
            "fax_number": "425-889-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PSYCHOLOGICAL SERVICES OF KIRKLAND, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "ORAM",
        "authorized_official_first_name": "GUY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-576-1817"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "WA",
            "license": "PY1926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.