Active NPI
Emerald Isle Health and Wellness
- Group Psychotherapy Psychologist
- Tacoma, WA
National Provider Identifier
1639826837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Group Psychotherapy Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 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 DirectoryLocations
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.
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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.