Eastside Psychological Associates PLLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PY000000942 Issued in WA

Legal business name

EASTSIDE PSYCHOLOGICAL ASSOCIATES PLLC

Practice address

18500 156TH Ave NE
Ste 202
Woodinville, WA 98072-4459

Phone

(425) 481-5700

Fax

(425) 481-2157

NPI assigned

Oct 25, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Tona Lynn McGuire, PH.D.

Title

Manager

Phone

(425) 581-5700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1801149000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18500 156TH AVE NE",
            "address_2": "STE 202",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980724459",
            "telephone_number": "425-481-5700",
            "fax_number": "425-481-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18500 156TH AVE NE",
            "address_2": "STE 202",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980724459",
            "telephone_number": "425-481-5700",
            "fax_number": "425-481-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE PSYCHOLOGICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "TONA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "425-581-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "WA",
            "license": "PY000000942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Michael Dujenski, BS, DPT
• Melinda Dunphy, PTA
• Grace T. Dy, MD
• Eagle Eye Vision Care PS
• Eric Eagleson
• Eckland PLLC
• Daryl Bruce Eckland, D.D.S.
• Keagan A Eckland, D.D.S.
• Shannon Edmonds
• Sally Saran Edwards, MD

• Clinical Child & Adolescent Psychologist in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Clinical Child & Adolescent Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.