Active NPI
NW Family Psychology
- Community/Behavioral Health Agency
- Vancouver, WA
National Provider Identifier
1407080187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 60041144
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Landon Eugene Poppleton, PH.D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Psychology
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Group Psychotherapy Psychologist
- Vancouver, WA
- NPI 1215371414
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Vancouver, WA
- NPI 1770721870
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.