NPIMap

Organization Active NPI

Barry a Carlaw PHD Inc

  • Clinical Psychologist
  • University Place, WA
National Provider Identifier
1710199211
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY00000701 Issued in WA
Legal business name
BARRY A CARLAW PHD INC
Practice address
4606 Bridgeport Way W
University Place, WA 98466-4200
Phone
(253) 564-8322
Fax
(253) 564-1281
NPI assigned
May 4, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Barry A Carlaw, PH.DNPI 1760501688
Title
President
Phone
(253) 564-8322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

4606 Bridgeport Way W
University Place, WA 98466
Phone (253) 565-0330

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY00000701 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

4606 Bridgeport Way W
University Place, WA 98466-4200

Mailing address

4606 Bridgeport Way W
University Place, WA 98466-4200
Phone (253) 564-8322

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710199211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 BRIDGEPORT WAY W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664200",
            "telephone_number": "253-564-8322",
            "fax_number": "253-564-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 BRIDGEPORT WAY W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664200",
            "telephone_number": "253-564-8322",
            "fax_number": "253-564-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY A CARLAW PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLAW",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-564-8322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00000701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

  • 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.