Active NPI
Northwest Hope & Recovery Center, PLLC
- Clinical Psychologist
- University Place, WA
National Provider Identifier
1801049176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- NORTHWEST HOPE & RECOVERY CENTER, PLLC
- Practice address
- 7406 27TH St W, Ste 210
University Place, WA 98466 - Phone
- (253) 444-8990
- Fax
- (253) 442-6117
- NPI assigned
- Oct 29, 2008
- 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
- Dr. William Michael Rogers, PSYD
- Title
- Psychologist/Owner
- Phone
- (253) 444-8990
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | PY00003741 | WA |
Addresses
Primary practice location
7406 27TH St W, Ste 210
University Place, WA 98466
Mailing address
7406 27TH St W, Ste 210
University Place, WA 98466
Phone (253) 444-8990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2204465 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
7406 27th St W
Ste 31
University Place, WA 98466
Phone (253) 212-0590
7406 27th St W
Ste 210
University Place, WA 98466
Phone (253) 230-9334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657584000000",
"number": "1801049176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7406 27TH ST W, STE 210",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "98466",
"telephone_number": "253-444-8990",
"fax_number": "253-442-6117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7406 27TH ST W, STE 210",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "98466",
"telephone_number": "253-444-8990",
"fax_number": "253-442-6117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST HOPE & RECOVERY CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-29",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
"authorized_official_telephone_number": "253-444-8990",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WA",
"license": "PY00003741",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2204465",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in University Place, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.