David G Rasmussen PSYD PS

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

UBI ID 601677869 Issued in WA

Legal business name

DAVID G RASMUSSEN PSYD PS

Practice address

16030 Bothell Everett Hwy
Suite 295
Mill Creek, WA 98012-1741

Phone

(425) 337-7133

NPI assigned

Feb 27, 2012

Last updated

Apr 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Grant Rasmussen, PSYDNPI 1699830364

Title

Psychologist

Phone

(425) 337-7133

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Grant Rasmussen, PSY.D.

  • Clinical Psychologist
  • Mill Creek, WA
  • NPI 1699830364
  Medicare reassignment NPD Authorized official
• Deborah Marie Mauldin, LCSW

  • Mental Health Counselor
  • Los Alamitos, CA
  • NPI 1962459297
  NPD (past)

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1568736288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16030 BOTHELL EVERETT HWY",
            "address_2": "SUITE 295",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121741",
            "telephone_number": "425-337-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16030 BOTHELL EVERETT HWY",
            "address_2": "SUITE 295",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121741",
            "telephone_number": "425-337-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G RASMUSSEN PSYD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "425-337-7133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "UBI ID 601677869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70281175",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Marcus Fricke Professional Servie Corporation (Dr. Dan Chiropractic and Massage)
• Renee Danks, DPM
• Darren Greenhalgh DDS PLLC (Pacific Northwest Smiles)
• Nahal Darvish, DMD
• Christine Daverio, LCSW
• Heather R Davidson, CCC-SLP
• Eva Davis, LMP
• Ronald Eugene Davis, LMP
• Steven A Davis, OD
• Alison K. Day, MA, CCC-SLP

• Community/Behavioral Health Agency in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.