Jan L. Nix, PH.D., PS

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

JAN L. NIX, PH.D., PS

Practice address

202 Phoenix St NE
Olympia, WA 98506-4850

Phone

(360) 705-1675

NPI assigned

Dec 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jan Nix, PH.D.

Title

Licensed Clinical Psychologist

Phone

(360) 705-1675

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1912142175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 PHOENIX ST NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064850",
            "telephone_number": "360-705-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 PHOENIX ST NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064850",
            "telephone_number": "360-705-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN L. NIX, PH.D., PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "NIX",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "360-705-1675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Olympia, WA
• Providers in Olympia, WA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.