Pacific NW Relational Therapy, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PACIFIC NW RELATIONAL THERAPY, PLLC

Practice address

4400 NE 77TH Ave
Vancouver, WA 98662-6829

Phone

(503) 765-6335

NPI assigned

May 8, 2024

Last updated

May 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Skylar Tharp-Bittinger, PSY.D.

Title

Licensed Psychologist/Owner

Phone

(503) 765-6335

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

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.

• Skylar Tharp, PSY.D.

  • Clinical Psychologist
  • Vancouver, WA
  • NPI 1487998852
  Medicare reassignment NPD

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1447008099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W RIVERSIDE AVE # 8395",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010580",
            "telephone_number": "503-765-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 NE 77TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626829",
            "telephone_number": "503-765-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NW RELATIONAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "THARP-BITTINGER",
        "authorized_official_first_name": "SKYLAR",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "503-765-6335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1487998852",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pacific Northwest Renal Services, L.L.C. (Fresenius Kidney Care Fort Vancouver)
• Pacific Northwest Specialty Pharmacy LLC (Pacific NW Specialty Pharmacy, LLC)
• Pacific Optical Inc (Pacific Optical)
• Pacific Pediatric Feeding Team
• Pacific Phoenix Group PLLC (Pacific Phoenix Psychiatry)
• Pacific Surgical Specialists LLC
• Pacific Surgical Specialists, PLLC

• Adult Mental Health Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Adult Mental Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.