Organization Active NPI

Allenmore Psychological Associates

  • Psychologist
  • Tacoma, WA
National Provider Identifier
1790744407
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
UBI601130547 Issued in WA
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

Updated by the provider on Feb 26, 2013

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)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7093313MedicaidWA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.