Clincal & Forensic Psychology, Inc., P.S.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY00001200 Issued in WA

Legal business name

CLINCAL & FORENSIC PSYCHOLOGY, INC., P.S.

Practice address

3815 100TH St SW
Ste 2B
Lakewood, WA 98499-4401

Phone

(253) 984-7686

Fax

(253) 984-7862

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Bennett Whitehill, PH.D.NPI 1801002084

Title

Psychologist

Phone

(253) 984-7686

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Mark Bennett Whitehill, PH.D.

  • Clinical Psychologist
  • Lakewood, WA
  • NPI 1801002084
  NPD (past) Authorized official
• Paula G. Van Pul, M.A.

  • Other Technician
  • Lakewood, WA
  • NPI 1831395649
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679696777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 100TH ST SW",
            "address_2": "STE 2B",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994401",
            "telephone_number": "253-984-7686",
            "fax_number": "253-984-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 100TH ST SW",
            "address_2": "STE 2B",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994401",
            "telephone_number": "253-984-7686",
            "fax_number": "253-984-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINCAL & FORENSIC PSYCHOLOGY, INC., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITEHILL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "BENNETT",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "253-984-7686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00001200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Clegg
• James T Clemen, MD
• Scott Jeffrey Clemons, NP-C
• Joseph Clift
• Stephen D Clift, M.D.
• Kari Cline
• Renee Michelle Cline, CO 60971093
• Clover Creek Chiropractic Inc PC
• Clover Park School District
• Darcy Lynn Aiyana Cluff, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.