Organization Active NPI

Emerald Isle Health and Wellness

  • Group Psychotherapy Psychologist
  • Tacoma, WA
National Provider Identifier
1639826837
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
EMERALD ISLE HEALTH AND WELLNESS
Practice address
4301 S Pine St Ste 17
Tacoma, WA 98409-7252
Phone
(720) 204-8510
Fax
(720) 828-6114
NPI assigned
Mar 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Authorized official

Name
Sharon L. Allen, PHD
Title
Owner
Phone
(720) 204-8510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP2701X Primary

Addresses

Primary practice location

4301 S Pine St Ste 17
Tacoma, WA 98409-7252

Mailing address

4301 S Pine St Ste 17
Tacoma, WA 98409-7252
Phone (720) 204-8510

National Provider Directory

National Provider Directory

Locations

4301 S Pine St
Ste 17
Tacoma, WA 98409
Phone (253) 313-2438

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1639826837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 S PINE ST STE 17",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097252",
            "telephone_number": "720-204-8510",
            "fax_number": "720-828-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 S PINE ST STE 17",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097252",
            "telephone_number": "720-204-8510",
            "fax_number": "720-828-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD ISLE HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-204-8510",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

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