John Arnold, PHD
Individual provider Active NPI Clinical Psychologist · Chelan, WA
NPI 1881661858 · NPPES record last updated Feb 4, 2021
Key facts
- NPI
- 1881661858
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY00002376 (WA)
- Practice address
- 105 S Apple Blossom Dr
Chelan, WA 98816-8810 - Phone
- (509) 682-6000
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Columbia Valley Community Health
Practice addresses (Care Compare)
105 S Apple Blossom Dr
Chelan, WA 98816-8810
Phone (509) 682-6000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040518001096 | WA | Practitioner - Clinical Psychologist | 4284625401 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00002376 | WA | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Valley Community Health | Current |
Accepting new patients | |
| Columbia Valley Community Health | Current | Accepting new patients | |
| Columbia Valley Community Health | Current |
Accepting new patients |
Locations
105 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-6000
600 Orondo Ave
Ste 1
Wenatchee, WA 98801
Phone (509) 664-4575
Interoperability endpoints
- john.arnold.1@10575.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | PY00002376 | WA | |
| Clinical Psychologist | 103TC0700X | PY00002376 | WA | Yes |
Addresses
Primary practice location
105 S Apple Blossom Dr
Chelan, WA 98816-8810
Mailing address
503 E Highland Ave
Chelan, WA 98816-8631
Phone (509) 682-8517
Other practice location 1
503 E Highland Ave
Chelan, WA 98816-8631
Phone (509) 682-8517
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7098213 | Medicaid | WA |
Other providers in Chelan, WA
- David A Anderson
- Joshua Anderson
- Arturo Aparicio Garcia
- Gerardo Aragon Chavez
- Carl William Arends
- Lisa Badgley
- Rhonda Lynn Barnes-Heffernan
- Bellamia Massage
- Francisco Blanco
- Boulder Physical Therapy, PLLC
All providers in Chelan, WA · Clinical Psychologist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.