Organization Active NPI

Carefree NW Health Psychology PLLC

  • Clinical Psychologist
  • Vancouver, WA
National Provider Identifier
1720790306
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CAREFREE NW HEALTH PSYCHOLOGY PLLC
Practice address
400 E Evergreen Blvd Ste 102
Vancouver, WA 98660-3263
Phone
(564) 232-8225
NPI assigned
Dec 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Authorized official

Name
Dr. Maria Lise Flores, PHDNPI 1023347218
Title
Practice Owner
Phone
(564) 232-8225

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

400 E Evergreen Blvd Ste 102
Vancouver, WA 98660-3263

Mailing address

400 E Evergreen Blvd Ste 102
Vancouver, WA 98660-3263
Phone (564) 232-8225

National Provider Directory

National Provider Directory

Locations

400 E Evergreen Blvd
Ste 102
Vancouver, WA 98660
Phone (360) 935-0644

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1720790306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E EVERGREEN BLVD STE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603263",
            "telephone_number": "564-232-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E EVERGREEN BLVD STE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603263",
            "telephone_number": "564-232-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREFREE NW HEALTH PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LISE",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "564-232-8225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.