Elizabeth Ann Koenig Viney, PHD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

60386629 Issued in WA

Practice address

8226 Bracken PL SE Ste 200
Snoqualmie, WA 98065-2935

Phone

(425) 428-9759

Fax

(425) 278-6071

NPI assigned

Jul 23, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1891040200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8226 BRACKEN PL SE STE 200",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980652935",
            "telephone_number": "425-428-9759",
            "fax_number": "425-278-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8226 BRACKEN PL SE STE 200",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980652935",
            "telephone_number": "425-428-9759",
            "fax_number": "425-278-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINEY",
        "first_name": "ELIZABETH",
        "middle_name": "ANN KOENIG",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "WA",
            "license": "60386629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025287200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Auryel Van Gemert
• Phyllis Vandervort, PT
• Britney Varhley, M.S. SLP-CCC
• H. Martin Vatheuer, MD
• Liane M Venezia, RN
• Anna Helena Wahlstrom, CDP
• Jordan Scott Wallace, MD
• Jennifer Gloria Walsh, CCC-SLP
• Michelle Marie Walter, ND
• Melissa Rose Walters, PSYD

• Clinical Child & Adolescent Psychologist in Snoqualmie, WA
• Providers in Snoqualmie, WA by specialty
• Clinical Child & Adolescent Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.