Active NPI
Sunshine Psychological Services
- Community/Behavioral Health Agency
- Longview, WA
National Provider Identifier
1891174694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- PY3397
- Legal business name
- SUNSHINE PSYCHOLOGICAL SERVICES
- Practice address
- 1655 Hudson St
Suite 5
Longview, WA 98632-2949 - Phone
- (360) 747-7788
- NPI assigned
- May 26, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sunshine Elisabeth Clark, PHD
- Title
- Clinical Psychologist
- Phone
- (360) 749-6721
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | PY3397 | WA | Primary |
Addresses
Primary practice location
1655 Hudson St
Suite 5
Longview, WA 98632-2949
Mailing address
1655 Hudson St
Suite 5
Longview, WA 98632-2949
Phone (360) 747-7788
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0205667 | Other | WA | LABOR AND INDUSTRIES |
| 8940692 | Other | WA | L AND I CRIME VICTIMS |
National Provider Directory
National Provider DirectoryLocations
1655 Hudson St
Ste 5
Longview, WA 98632
Phone (360) 747-7788
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Spokane, WA
- NPI 1245341072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432598400000",
"number": "1891174694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 HUDSON ST",
"address_2": "SUITE 5",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322949",
"telephone_number": "360-747-7788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 HUDSON ST",
"address_2": "SUITE 5",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322949",
"telephone_number": "360-747-7788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNSHINE PSYCHOLOGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-26",
"last_updated": "2015-05-26",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "SUNSHINE",
"authorized_official_middle_name": "ELISABETH",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "360-749-6721",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WA",
"license": "PY3397",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0205667",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L AND I CRIME VICTIMS",
"identifier": "8940692",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.