Dr. Mary H. Kolpacoff, Inc., P.S.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

996 Issued in WA

Legal business name

DR. MARY H. KOLPACOFF, INC., P.S.

Practice address

1400 112TH Ave SE
#221
Bellevue, WA 98004-6901

Phone

(425) 451-9492

NPI assigned

Dec 14, 2010

Last updated

Dec 14, 2010By 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. Mary Kolpacoff, PH.D.NPI 1144343591

Title

Psychologist

Phone

(425) 451-9492

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Mary Kolpacoff, PH.D.

  • Psychologist
  • Bellevue, WA
  • NPI 1144343591
  Authorized official Same address or phone

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1457654428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 112TH AVE SE",
            "address_2": "#221",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046901",
            "telephone_number": "425-451-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 112TH AVE SE",
            "address_2": "#221",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046901",
            "telephone_number": "425-451-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARY H. KOLPACOFF, INC., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "KOLPACOFF",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "425-451-9492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1144343591",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Attaman, PLLC
• Dr. Edward a. Owens, PS.
• Dr. Erik R. Johnson DC PS, Inc
• Dr. J. Song, Optometrist, Inc. (Lake Hills Eye Clinic)
• Dr. Jerry Wang, D.C., P.S., Inc. (Eastside Family Chiropractic)
• Dr. Neil a. Hansen, DDS
• Dr. Tasha Morris, Inc
• Alison Drake
• Whitney Drake
• Kadijah Drame

• Clinical Psychologist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.