Independent Psychologists

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1626 Issued in WA

Legal business name

INDEPENDENT PSYCHOLOGISTS

Practice address

1256 SE Bishop Boulevard
Suite M
Pullman, WA 99163-2413

Phone

(509) 595-5225

Fax

(509) 334-5515

NPI assigned

Jun 28, 2007

Organization subpart

No

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

Authorized official

Name

Laurie J Smith, PHDNPI 1629193198

Title

Owner / Psychologist

Phone

(509) 595-5225

Specialties & licenses 1

Addresses

Other names 1

• Laurie J Smith Laurie J Wilson Doing business as

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

• Laurie J Smith, PH.D.

  • Clinical Psychologist
  • Pullman, WA
  • NPI 1629193198

  Clinical

  NPD (past) Authorized official

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1891992293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 462",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991632413",
            "telephone_number": "509-595-5225",
            "fax_number": "509-334-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 SE BISHOP BOULEVARD",
            "address_2": "SUITE M",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991632413",
            "telephone_number": "509-595-5225",
            "fax_number": "509-334-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT PSYCHOLOGISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER / PSYCHOLOGIST",
        "authorized_official_telephone_number": "509-595-5225",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "1626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurie J Smith Laurie J Wilson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Lee Hug, DNP, CRNA
• Martha Hunt, MD
• Ashley Hurley
• Dominique Hyatt-Oates
• Margaret R Igielski, PHARM D
• Ella R Inglebret, PHD, CCC, SLP
• Inland Orthopaedic Surgery and Sports Medicine Clinic PLLC
• Miranda M Jackson
• Angila Melisande Jaeggli, N.D.
• Majidi Jallow

• All providers in Pullman, WA
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.