Peak Potential Psychology, PLLC

Primary specialty

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

Legal business name

PEAK POTENTIAL PSYCHOLOGY, PLLC

Practice address

5113 W Margaret St
Pasco, WA 99301-2460

Phone

(509) 492-2161

NPI assigned

Oct 16, 2024

Last updated

Oct 17, 2024By 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

Dr. William Waters, PSYD, LPNPI 1255610234

Title

Owner

Phone

(509) 528-6130

Specialties & licenses 1

Addresses

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.

• William Waters, PSYD, LP

  • Clinical Psychologist
  • Pasco, WA
  • NPI 1255610234
  NPD Authorized official

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1720808462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 W MARGARET ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993012460",
            "telephone_number": "509-492-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 W MARGARET ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993012460",
            "telephone_number": "509-492-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK POTENTIAL PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-528-6130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pasco School District
• Pasco School District
• Pasco Vision Clinic P S
• Latierney Patton, PMHNP
• PBS
• Eric Pearson, P.A.
• Caleb Bradford Peck
• Alma Clarisa Pena
• Daniel C Perdue, O.D.
• Diane Perez-Chavez

• Mental Health Clinic/Center (Including Community Mental Health Center) in Pasco, WA
• Providers in Pasco, 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 Oct 17, 2024; 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.