Redwood Psychological & Counseling Services PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

REDWOOD PSYCHOLOGICAL & COUNSELING SERVICES PLLC

Practice address

26311 NE Valley St # 219
Duvall, WA 98019-8435

Phone

(425) 343-3289

NPI assigned

Aug 25, 2021

Last updated

Aug 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jolynn-Marie Wagner, PHD

Title

Psychologist

Phone

(425) 343-3289

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jolynn Wagner, PHD

  • Clinical Psychologist
  • Duvall, WA
  • NPI 1093917320
  NPD

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1710654918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26311 NE VALLEY ST # 219",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980198435",
            "telephone_number": "425-343-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26311 NE VALLEY ST # 219",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980198435",
            "telephone_number": "425-343-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD PSYCHOLOGICAL & COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "JOLYNN-MARIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "425-343-3289",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Rose Pyatt
• Benjamin Adam Quayle, DC
• Heidi Rose Reda
• Phillip Eugene Redd, DDS
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• Natalie Rivera-Esperance
• Vinna A Roney, CDP RC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.