Divorce Options, P.S.

Key facts

NPI

1811325459

Entity type

Organization (NPI type 2)

Primary specialty

Psychologist 103T00000X

License

PY00003681 (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

Organization subpart

No

Authorized official

Name

Dr. Meredith L. Gilbert, PH.D NPI 1407055619

Title

Owner

Phone

(206) 232-2898

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

• Meredith L. Gilbert, PH.D. Clinical Psychologist · Mercer Island, WA · NPI 1407055619
  Medicare reassignment NPD Authorized official WA

Medicare participation

Medicare fee-for-service enrollment

Enrolled in WA

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 16, 2013.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G8889886",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

• Parisa Derakshani
• Dermatology Clinic PLLC
• Rachel M Dillon, DPT
• Dina E McNeil Arnp PLLC
• Tam Quythi Dinh, PH.D, LICSW
• Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC
• Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC
• Nicholas Docter, DDS
• Dr Jeffrey Parton DC PS
• Diana Maria Dsouza

All providers in Mercer Island, WA · Psychologist in Washington