Active NPI
Isabelle Oh, PSYD
- Clinical Child & Adolescent Psychologist
- Tacoma, WA
National Provider Identifier
1477194173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PSYC.PY.60985192
- Practice address
- 1220 Division Ave
Tacoma, WA 98403-1321 - Phone
- (253) 403-1400
- NPI assigned
- Oct 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSYC.PY.60985192 | WA | Primary |
Addresses
Primary practice location
1220 Division Ave
Tacoma, WA 98403-1321
Mailing address
3911 N 25TH St Apt 403
Tacoma, WA 98406-5322
Phone (812) 360-8409
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSYC.PY.60985192 | WA | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Behavioral Medicine Collaborative, PLLC | Clinical Child & Adolescent | Current | Accepting new patients |
Locations
2412 N 30th St
Ste 201
Tacoma, WA 98407
Phone (253) 237-4248
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Tacoma, WA
- NPI 1588441695
Clinical Child & Adolescent
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1477194173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3911 N 25TH ST APT 403",
"city": "TACOMA",
"state": "WA",
"postal_code": "984065322",
"telephone_number": "812-360-8409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 DIVISION AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984031321",
"telephone_number": "253-403-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OH",
"first_name": "ISABELLE",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-03",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "WA",
"license": "PSYC.PY.60985192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.