Organization Active NPI

Tri-Essence Care Group PLLC

  • Psychologist
  • Oak Harbor, WA
National Provider Identifier
1508384629
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
TRI-ESSENCE CARE GROUP PLLC
Practice address
32650 State Route 20 Ste E203
Oak Harbor, WA 98277-2686
Phone
(360) 360-6499
Fax
(360) 682-6367
NPI assigned
Sep 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Aaron R. Burdge, PH.D.
Title
Managing Member
Phone
(360) 682-6499

Specialties & licenses 1

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

Addresses

Primary practice location

32650 State Route 20 Ste E203
Oak Harbor, WA 98277-2686

Mailing address

32650 State Route 20 Ste E203
Oak Harbor, WA 98277-2686
Phone (360) 360-6499

National Provider Directory

National Provider Directory

Locations

32650 State Route 20
Ste E203
Oak Harbor, WA 98277
Phone (360) 544-3032

NPI Registry JSON

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508384629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32650 STATE ROUTE 20 STE E203",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982772686",
            "telephone_number": "360-360-6499",
            "fax_number": "360-682-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32650 STATE ROUTE 20 STE E203",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982772686",
            "telephone_number": "360-360-6499",
            "fax_number": "360-682-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-ESSENCE CARE GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BURDGE",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "360-682-6499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "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 Jul 21, 2022; 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.