Active NPI
Heather Maycock Ogilvy, PH.D.
- Clinical Child & Adolescent Psychologist
- Everett, WA
National Provider Identifier
1497988307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PY 00002530
- Practice address
- 127 E Intercity Ave
Suite a
Everett, WA 98208-2732 - Phone
- (206) 595-5771
- Fax
- (425) 355-0626
- NPI assigned
- Aug 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY00002530 | WA | |
| Adult Development & Aging Psychologist | 103TA0700X | PY 00002530 | WA | |
| Clinical Psychologist | 103TC0700X | PY 00002530 | WA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PY 00002530 | WA | Primary |
| Family Psychologist | 103TF0000X | PY 00002530 | WA | |
| Group Psychotherapy Psychologist | 103TP2701X | PY 00002530 | WA |
Addresses
Primary practice location
127 E Intercity Ave
Suite a
Everett, WA 98208-2732
Mailing address
127 E Intercity Ave
Suite a
Everett, WA 98208-2732
Phone (206) 595-5771
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00002530 | WA | MD | Psychologist |
| PY 00002530 | WA | MD | Family Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251244800000",
"number": "1497988307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 E INTERCITY AVE",
"address_2": "SUITE A",
"city": "EVERETT",
"state": "WA",
"postal_code": "982082732",
"telephone_number": "206-595-5771",
"fax_number": "425-355-0626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 E INTERCITY AVE",
"address_2": "SUITE A",
"city": "EVERETT",
"state": "WA",
"postal_code": "982082732",
"telephone_number": "206-595-5771",
"fax_number": "425-355-0626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGILVY",
"first_name": "HEATHER",
"middle_name": "MAYCOCK",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-26",
"last_updated": "2009-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY00002530",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "WA",
"license": "PY 00002530",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY 00002530",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "WA",
"license": "PY 00002530",
"primary": true
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "WA",
"license": "PY 00002530",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "WA",
"license": "PY 00002530",
"primary": false
}
],
"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 Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.