Tacoma Psychology, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1546 Issued in WA

Legal business name

TACOMA PSYCHOLOGY, PLLC

Practice address

1919 N Pearl St Ste C2
Tacoma, WA 98406-2490

Phone

(253) 383-0101

Fax

(253) 383-0149

NPI assigned

Mar 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brad L Bates, PHDNPI 1346388295

Title

Owner

Phone

(253) 383-0101

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 4

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

• Brad L Bates, PH.D.

  • Clinical Psychologist
  • Tacoma, WA
  • NPI 1346388295
  Medicare reassignment NPD Authorized official
• John Allan Ernst, PHD

  • Clinical Neuropsychologist
  • Tacoma, WA
  • NPI 1063624104
  Medicare reassignment NPD
• Julia Panayota Charuhas, MA, LMFT

  • Marriage & Family Therapist
  • Tacoma, WA
  • NPI 1356743819
  NPD
• Cordelia Ruth Cochran, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tacoma, WA
  • NPI 1003254988
  NPD (past)

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1568422277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 N PEARL ST STE C2",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062490",
            "telephone_number": "253-383-0101",
            "fax_number": "253-383-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 N PEARL ST STE C2",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062490",
            "telephone_number": "253-383-0101",
            "fax_number": "253-383-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACOMA PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-25",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-383-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "1546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIE",
            "identifier": "0207038",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tacoma Orthopaedic Surgeons Inc
• Tacoma Orthopaedic Surgeons Inc
• Tacoma Pharmacy Co
• Tacoma Physical Therapy Inc PS
• Tacoma Psychiatric Care, PLLC
• Tacoma Public Schools
• Tacoma Public Schools
• Tacoma Public Schools
• Tacoma Public Schools
• Tacoma Radiation Oncology Center Inc, PS

• Clinical Psychologist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.