Active NPI
Puget Sound Mental Health PS Inc.
- Psychologist
- Lakewood, WA
National Provider Identifier
1447595103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- PUGET SOUND MENTAL HEALTH PS INC.
- Practice address
- 6108 Community PL SW
Suite 3
Lakewood, WA 98499-2447 - Phone
- (253) 581-1423
- Fax
- (253) 581-1425
- NPI assigned
- Dec 6, 2012
- 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. Indra Annette Finch, PHD
- Title
- Owner
- Phone
- (253) 581-1423
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary | ||
| Clinical Psychologist | 103TC0700X | |||
| Forensic Psychologist | 103TF0200X | |||
| Forensic Psychiatry Physician | 2084F0202X | |||
| Psychiatry Physician | 2084P0800X |
Addresses
Primary practice location
6108 Community PL SW
Suite 3
Lakewood, WA 98499-2447
Mailing address
6108 Community PL SW
Suite 3
Lakewood, WA 98499-2447
Phone (253) 581-1423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6108 Community Pl SW
Ste 3
Lakewood, WA 98499
Phone (253) 581-1423
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Lakewood, WA
- NPI 1275502650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391644800000",
"number": "1447595103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6108 COMMUNITY PL SW",
"address_2": "SUITE 3",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984992447",
"telephone_number": "253-581-1423",
"fax_number": "253-581-1425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6108 COMMUNITY PL SW",
"address_2": "SUITE 3",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984992447",
"telephone_number": "253-581-1423",
"fax_number": "253-581-1425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUGET SOUND MENTAL HEALTH PS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-06",
"last_updated": "2014-02-06",
"status": "A",
"authorized_official_last_name": "FINCH",
"authorized_official_first_name": "INDRA",
"authorized_official_middle_name": "ANNETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "253-581-1423",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Forensic",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084F0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.