Nicole R R Josephsen, MA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

RC 00054581 Issued in WA

Practice address

1700 NW Gilman Blvd Ste 205
Issaquah, WA 98027-5349

Phone

(425) 463-5047

Fax

(186) 658-6074

NPI assigned

Jan 9, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231459200000",
    "number": "1639316896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NW GILMAN BLVD STE 205",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275349",
            "telephone_number": "425-463-5047",
            "fax_number": "186-658-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NW GILMAN BLVD STE 205",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275349",
            "telephone_number": "425-463-5047",
            "fax_number": "186-658-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPHSEN",
        "first_name": "NICOLE",
        "middle_name": "R R",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "RC 00054581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Lee Jones
• Lauren Jones, CFY-SLP
• Renee Jones, LMHCA, CDP
• Susan Jones, A.R.N.P.
• Robert Eric Jorgensen, DDS
• Ju Yon Sophie Yi, MD, DDS, PLLC
• Jennifer An-Jeng Juang, O.D.
• Judith Mendenhall, MSW, Licsw, PLLC
• Julie P. Franke, Licsw, PLLC
• Jhansi Juluri

• Psychologist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.

Verify at the official NPI Registry.