NPIMap

Organization Active NPI

Snohomish Psychology Associates, PLLC

  • Clinical Psychologist
  • Everett, WA
National Provider Identifier
1497178206
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60073218 Issued in WA
Legal business name
SNOHOMISH PSYCHOLOGY ASSOCIATES, PLLC
Practice address
1721 Hewitt Ave
Suite 416
Everett, WA 98201-3570
Phone
(425) 789-1073
NPI assigned
Jan 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
Dr. Kira Mauseth, PH.D.NPI 1770816811
Title
Owner/Psychologist
Phone
(425) 789-1073

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY60073218 WA Primary

Addresses

Primary practice location

1721 Hewitt Ave
Suite 416
Everett, WA 98201-3570

Mailing address

PO Box 13221
Everett, WA 98206-3221

National Provider Directory

National Provider Directory

Locations

300 Admiral Way
Ste 203
Edmonds, WA 98020
Phone (425) 789-1073

3501 Colby Ave
Ste 105
Everett, WA 98201
Phone (425) 273-3145

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1497178206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13221",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982063221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 HEWITT AVE",
            "address_2": "SUITE 416",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013570",
            "telephone_number": "425-789-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOHOMISH PSYCHOLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "MAUSETH",
        "authorized_official_first_name": "KIRA",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "425-789-1073",
        "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": "PY60073218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.