Organization Active NPI

Maureen C Pierce PHD Inc PS

  • Counseling Psychologist
  • Des Moines, WA
National Provider Identifier
1467557173
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY00002983 Issued in WA
Legal business name
MAUREEN C PIERCE PHD INC PS
Practice address
22517 7TH Ave S
Des Moines, WA 98198-6820
Phone
(206) 824-3950
Fax
(206) 870-9081
NPI assigned
Sep 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Maureen Casandra Pierce, PH.D.NPI 1215944798
Title
Psychologist
Phone
(206) 824-3950

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)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X PY00002983 WA Primary

Addresses

Primary practice location

22517 7TH Ave S
Des Moines, WA 98198-6820

Mailing address

22517 7TH Ave S
Des Moines, WA 98198-6820
Phone (206) 824-3950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061219000200 WA Part B Supplier - Clinic/Group Practice 0244239309 Receives reassigned benefits from 1 practitioner
Practice locations: Des Moines, WA

National Provider Directory

National Provider Directory

Locations

22517 7th Ave S
Des Moines, WA 98198
Phone (206) 824-3950

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467557173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22517 7TH AVE S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986820",
            "telephone_number": "206-824-3950",
            "fax_number": "206-870-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22517 7TH AVE S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986820",
            "telephone_number": "206-824-3950",
            "fax_number": "206-870-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUREEN C PIERCE PHD INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "CASANDRA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "206-824-3950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "PY00002983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.