Psychology for Meaningful Change, P.S.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00002451 Issued in WA

Legal business name

PSYCHOLOGY FOR MEANINGFUL CHANGE, P.S.

Practice address

3429 Fremont PL N
Suite 311
Seattle, WA 98103-8660

Phone

(206) 914-1444

Fax

(806) 214-1444

NPI assigned

Aug 30, 2007

Organization subpart

No

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

Authorized official

Name

Bonnie Wolkenstein, PH.D.

Title

President

Phone

(206) 914-1444

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1649464876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 FREMONT PL N",
            "address_2": "SUITE 311",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038660",
            "telephone_number": "206-914-1444",
            "fax_number": "806-214-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3429 FREMONT PL N",
            "address_2": "SUITE 311",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038660",
            "telephone_number": "206-914-1444",
            "fax_number": "806-214-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY FOR MEANINGFUL CHANGE, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "WOLKENSTEIN",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-914-1444",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00002451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PSJH PLLC
• Sarah Patricia Psutka, M.D.
• Psychiatric Medicine Associates PLLC
• Psychiatry Northwest, LLC
• Psychological and Educational Alliance for Children
• Psychotherapy & Consultation Services, LLC
• Pt4All PLLC
• Alina Maia Ptak
• Krystina Ptasinski, CDP
• Alexandra Meagan Ptucha, RRT

• Clinical Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.