Organization Active NPI

Puget Sound Mental Health PS Inc.

  • Psychologist
  • Lakewood, WA
National Provider Identifier
1447595103
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
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

Updated by the provider on Feb 6, 2014

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

Authorized official

Name
Dr. Indra Annette Finch, PHDNPI 1275502650
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)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Forensic PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0200X
Forensic Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084F0202X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20150422002448 WA Part B Supplier - Clinic/Group Practice 1658699673 Receives reassigned benefits from 1 practitioner
Practice locations: Lakewood, WA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.