NPIMap

Individual provider Active NPI

Miriam Anne Erickson, PH.D.

  • Clinical Psychologist
  • Vancouver, WA
National Provider Identifier
1841400876
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2230 Issued in WA
Practice address
1409 Franklin St
Suite 203
Vancouver, WA 98660-2899
Phone
(360) 693-1333
Fax
(360) 448-7337
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2230 WA Primary

Addresses

Primary practice location

1409 Franklin St
Suite 203
Vancouver, WA 98660-2899

Mailing address

1409 Franklin St
Suite 203
Vancouver, WA 98660-2899
Phone (360) 693-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2230WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Miriam Erickson, PH.D., PS Clinical Past Accepting new patients
New Harmony Health, Inc. Past Accepting new patients
Abundant Health Naturopathic Clinic Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1841400876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 FRANKLIN ST",
            "address_2": "SUITE 203",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602899",
            "telephone_number": "360-693-1333",
            "fax_number": "360-448-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 FRANKLIN ST",
            "address_2": "SUITE 203",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602899",
            "telephone_number": "360-693-1333",
            "fax_number": "360-448-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "MIRIAM",
        "middle_name": "ANNE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "2230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.