Active NPI
Glenn J. Maarse, PH.D. LLC
- Clinical Psychologist
- Seattle, WA
National Provider Identifier
1396063558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY2011
- Legal business name
- GLENN J. MAARSE, PH.D. LLC
- Practice address
- 124 E Edgar St
Seattle, WA 98102-3132 - Phone
- (206) 323-3243
- Fax
- (206) 407-3243
- NPI assigned
- May 12, 2010
- Last updated
- May 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Glenn Jacob Maarse, PH.D.
- Title
- Psychologist
- Phone
- (206) 323-3243
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY2011 | WA | Primary |
Addresses
Primary practice location
124 E Edgar St
Seattle, WA 98102-3132
Mailing address
124 E Edgar St
Seattle, WA 98102-3132
Phone (206) 323-3243
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Seattle, WA
- NPI 1164570420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273622400000",
"number": "1396063558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 E EDGAR ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981023132",
"telephone_number": "206-323-3243",
"fax_number": "206-407-3243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 E EDGAR ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981023132",
"telephone_number": "206-323-3243",
"fax_number": "206-407-3243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLENN J. MAARSE, PH.D. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-12",
"last_updated": "2010-05-12",
"status": "A",
"authorized_official_last_name": "MAARSE",
"authorized_official_first_name": "GLENN",
"authorized_official_middle_name": "JACOB",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "206-323-3243",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY2011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.