Divorce Options, P.S.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY00003681 Issued in WA

Legal business name

DIVORCE OPTIONS, P.S.

Practice address

3035 Island Crest Way Ste 112
Mercer Island, WA 98040-2919

Phone

(206) 232-2898

Fax

(206) 382-0245

NPI assigned

Oct 16, 2013

Last updated

Oct 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Meredith L. Gilbert, PH.DNPI 1407055619

Title

Owner

Phone

(206) 232-2898

Specialties & licenses 1

Addresses

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, and the practitioner matching its NPPES authorized official.

• Meredith L. Gilbert, PH.D.

  • Clinical Psychologist
  • Mercer Island, WA
  • NPI 1407055619
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1811325459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 ISLAND CREST WAY STE 112",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402919",
            "telephone_number": "206-232-2898",
            "fax_number": "206-382-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 ISLAND CREST WAY STE 112",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402919",
            "telephone_number": "206-232-2898",
            "fax_number": "206-382-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVORCE OPTIONS, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-232-2898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00003681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.