Northwest Integrative Psychotherapy, Inc. P.S.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

1785 Issued in WA

Legal business name

NORTHWEST INTEGRATIVE PSYCHOTHERAPY, INC. P.S.

Practice address

3245 Fairview Ave E Ste 310
Seattle, WA 98102

Phone

(206) 324-3581

Fax

(866) 602-1865

NPI assigned

Jun 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Peggy S Wood, PHDNPI 1649238502

Title

Owner/Psychologist

Phone

(206) 324-3581

Specialties & licenses 1

Addresses

Other names 1

• Other name Other name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peggy Wood, PH.D.

  • Counseling Psychologist
  • Seattle, WA
  • NPI 1649238502
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1801380191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 FAIRVIEW AVE E STE 310",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023053",
            "telephone_number": "206-324-3581",
            "fax_number": "866-602-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 FAIRVIEW AVE E STE 310",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98102",
            "telephone_number": "206-324-3581",
            "fax_number": "866-602-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST INTEGRATIVE PSYCHOTHERAPY, INC. P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "206-324-3581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "1785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Other name",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Northwest Hospital Providers TR (Sandpoint Internists)
• Northwest Hospital Providers Trust (Northwest Hospital Provider Trust)
• Northwest Hospital Providers Trust (Deep Brain Stimulation Program)
• Northwest Hospital Providers Trust (Dba Michael K Brawer MD)
• Northwest Inpatient Services
• Northwest Internal Medicine TR
• Northwest Kidney Centers (NKC Yesler Terrace Kidney Center)
• Northwest Kidney Centers
• Northwest Kidney Centers (NKC Scribner Kidney Center)
• Northwest Kidney Centers (NKC Rainier Beach Kidney Center)

• Counseling Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Counseling Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.