Premier Therapeutic Experience

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

LH 60270904 Issued in WA

Legal business name

PREMIER THERAPEUTIC EXPERIENCE

Practice address

8105 166TH Ave NE
Suite 202
Redmond, WA 98052-3999

Phone

(253) 970-0779

NPI assigned

May 7, 2012

Organization subpart

No

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

Authorized official

Name

Brandon E. Stogsdill, LMHC, CDPT

Title

Clinician

Phone

(253) 970-0779

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1639438955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 166TH AVE NE",
            "address_2": "SUITE 202",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523999",
            "telephone_number": "253-970-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 166TH AVE NE",
            "address_2": "SUITE 202",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523999",
            "telephone_number": "253-970-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER THERAPEUTIC EXPERIENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "STOGSDILL",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "253-970-0779",
        "authorized_official_credential": "LMHC, CDPT"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "LH 60270904",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "CO 60180142",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald E Potter, M.D.
• Kathy Strande Pouncy, LMP
• Ronald O. Powell, PHD
• Tina Margareta Powell, APRN
• Praka Sahi DDS PS
• Premise Health of Ohio Medical, P.a
• Shannon Anneke Price, LMFT
• Lourdes Prieto
• Primary Care Redmond, PLLC
• Primavita Family Medicine

• Preferred Provider Organization in Redmond, WA
• Providers in Redmond, WA by specialty
• Preferred Provider Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.