Active NPI
Allenmore Psychological Associates
- Psychologist
- Tacoma, WA
National Provider Identifier
1790744407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- UBI601130547
- Legal business name
- ALLENMORE PSYCHOLOGICAL ASSOCIATES
- Practice address
- 1530 S Union Ave
Suite 16
Tacoma, WA 98405-1954 - Phone
- (253) 752-7320
- Fax
- (253) 756-0427
- NPI assigned
- Mar 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul A Nelson, PHD
- Title
- Ceo
- Phone
- (253) 752-7320
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | UBI601130547 | WA | Primary |
Addresses
Primary practice location
1530 S Union Ave
Suite 16
Tacoma, WA 98405-1954
Mailing address
1530 S Union Ave
Suite 16
Tacoma, WA 98405-1954
Phone (253) 752-7320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7093313 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
2420 S Union Ave
Ste 100
Tacoma, WA 98405
Phone (253) 459-6111
1530 S Union Ave
Ste 16
Tacoma, WA 98405
Phone (253) 752-7620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361836800000",
"number": "1790744407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 S UNION AVE",
"address_2": "SUITE 16",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051954",
"telephone_number": "253-752-7320",
"fax_number": "253-756-0427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 S UNION AVE",
"address_2": "SUITE 16",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051954",
"telephone_number": "253-752-7320",
"fax_number": "253-756-0427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLENMORE PSYCHOLOGICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-21",
"last_updated": "2013-02-26",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "253-752-7320",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "WA",
"license": "UBI601130547",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7093313",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.