Organization Active NPI

NW Family Psychology

  • Community/Behavioral Health Agency
  • Vancouver, WA
National Provider Identifier
1407080187
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
60041144 Issued in WA
Legal business name
NW FAMILY PSYCHOLOGY
Practice address
4400 NE 77TH Ave Ste 275
Vancouver, WA 98662-6857
Phone
(360) 261-3355
Fax
(360) 326-1522
NPI assigned
May 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Authorized official

Name
Dr. Landon Eugene Poppleton, PH.DNPI 1770721870
Title
Director
Phone
(360) 261-3355

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
Community/Behavioral Health Agency 251S00000X 60041144 WA Primary

Addresses

Primary practice location

4400 NE 77TH Ave Ste 275
Vancouver, WA 98662-6857

Mailing address

4400 NE 77TH Ave Ste 275
Vancouver, WA 98662-6857
Phone (360) 261-3355

National Provider Directory

National Provider Directory
Tax ID family
NW Family Psychology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1407080187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 NE 77TH AVE STE 275",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626857",
            "telephone_number": "360-261-3355",
            "fax_number": "360-326-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 NE 77TH AVE STE 275",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626857",
            "telephone_number": "360-261-3355",
            "fax_number": "360-326-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW FAMILY PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "POPPLETON",
        "authorized_official_first_name": "LANDON",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "360-261-3355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "60041144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.