Cullins Psychological and Counseling Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CULLINS PSYCHOLOGICAL AND COUNSELING SERVICES

Practice address

4400 NE 77TH Ave Ste 275
Vancouver, WA 98662-6857

Phone

(503) 894-2725

Fax

(360) 326-2255

NPI assigned

May 2, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Joanna M Cullins, PSYDNPI 1164648895

Title

Clinical Psychologist

Phone

(503) 894-2725

Specialties & licenses 1

Addresses

Other names 1

• Joanna Cullins PsyD Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Joanna Marie Cullins, PSYD.

  • Clinical Psychologist
  • Vancouver, WA
  • NPI 1164648895
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1588377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1700407582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 MAIN ST UNIT 111",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971163240",
            "telephone_number": "503-894-2725",
            "fax_number": "360-326-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 NE 77TH AVE STE 275",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626857",
            "telephone_number": "503-894-2725",
            "fax_number": "360-326-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLINS PSYCHOLOGICAL AND COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-02",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "CULLINS",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "503-894-2725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drjcullins@hushmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "4400 NE 77th Ave # Sye275",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986626829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Joanna Cullins PsyD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Joanna Cullins PsyD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matias Cuitino, INTERPRETER
• Katherine Culbertson, LMHC
• Meghan Culbertson, OTR/L
• Thomas Culhane, MD
• Geri L Cullers, CNM
• Joanna Marie Cullins, PSYD.
• Phillip M Cullison Bonner, MD
• D'Ghon Antoine Culpepper Sr., LMP
• Amanda Louise Culver, DPT
• Rebecca C Culver, LICSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.