Organization Active NPI

Tri-Essence Care Wellness Center, PLLC

  • Psychologist
  • Oak Harbor, WA
National Provider Identifier
1497100614
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY60268445 Issued in WA
Legal business name
TRI-ESSENCE CARE WELLNESS CENTER, PLLC
Practice address
2930 Sonic LN
Oak Harbor, WA 98277-9009
Phone
(559) 314-4696
NPI assigned
Apr 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Mrs. Cassia Smith
Title
Office Manager
Phone
(801) 209-0277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PY60268445 WA Primary

Addresses

Primary practice location

2930 Sonic LN
Oak Harbor, WA 98277-9009

Mailing address

2930 Sonic LN
Oak Harbor, WA 98277-9009
Phone (559) 314-4696

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1497100614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 SONIC LN",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982779009",
            "telephone_number": "559-314-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 SONIC LN",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982779009",
            "telephone_number": "559-314-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-ESSENCE CARE WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CASSIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-209-0277",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60268445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.