Carlson, Ray & Associates, PS, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00004219 Issued in WA

Legal business name

CARLSON, RAY & ASSOCIATES, PS, INC.

Doing business as

CenteringPoint Psychotherapy Services

Practice address

2200 112TH Ave NE Ste 140
Bellevue, WA 98004-2951

Phone

(425) 454-1189

NPI assigned

Apr 1, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Robert A Carlson, M.S.W.

Title

President

Phone

(425) 454-1189

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CenteringPoint Psychotherapy Services Doing business as

Locations

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1750606828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11119 NE 68TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337188",
            "telephone_number": "425-454-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 112TH AVE NE STE 140",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042951",
            "telephone_number": "425-454-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLSON, RAY & ASSOCIATES, PS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-454-1189",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER",
            "identifier": "1538212972",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CenteringPoint Psychotherapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheyanna Mae Carlson, LMP
• Gretchen Woodworth Carlson, MD
• Hannah Carlson
• Jeff Robert Carlson, MSPT
• Keith Cameron Carlson, MD
• Tasheena Carlson
• Zachary John Carlson Sr.
• Carmen Lasby PLLC (Carmen Lasby PsyD)
• Laura Cathleen Carmichael, CNM, ARNP
• Elliott Liam Carney

• Clinical Social Worker in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.