Active NPI
S. Harriet Yurchak, PHD
- Clinical Psychologist
- Darrington, WA
National Provider Identifier
1770640906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LW00006120
- Practice address
- 5318 Chief Brown LN
Darrington, WA 98241-9420 - Phone
- (360) 436-1400
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LW00006120 | WA | Primary |
Addresses
Primary practice location
5318 Chief Brown LN
Darrington, WA 98241-9420
Mailing address
620 131St Ave NE
Bellevue, WA 98005-3345
Phone (425) 941-9236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW00006120 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245283200000",
"number": "1770640906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 131ST AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980053345",
"telephone_number": "425-941-9236",
"fax_number": "425-223-5051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5318 CHIEF BROWN LN",
"city": "DARRINGTON",
"state": "WA",
"postal_code": "982419420",
"telephone_number": "360-436-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YURCHAK",
"first_name": "S.",
"middle_name": "HARRIET",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2009-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "LW00006120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Darrington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.