Organization Active NPI

Wonder Tree Developmental Psychology, a Professional Organization

  • Psychologist
  • Vancouver, WA
National Provider Identifier
1912786997
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
WONDER TREE DEVELOPMENTAL PSYCHOLOGY, A PROFESSIONAL ORGANIZATION
Practice address
601 Main St Ste 200
Vancouver, WA 98660-3404
Phone
(626) 319-9467
NPI assigned
Sep 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Ashley Taylor Dougherty, PSY.D.NPI 1629263934
Title
Owner/Psychologist
Phone
(626) 319-9467

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)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

601 Main St Ste 200
Vancouver, WA 98660-3404

Mailing address

22804 NE 185TH Cir
Brush Prairie, WA 98606-8301
Phone (626) 319-9467

Other practice location 1

181 N Oak Knoll Ave Ste 1
Pasadena, CA 91101-4171
Phone (626) 319-9467

National Provider Directory

National Provider Directory

Locations

181 N Oak Knoll Ave
Ste 1
Pasadena, CA 91101
Phone (626) 225-2510

601 Main St
Ste 200
Vancouver, WA 98660
Phone (360) 836-6647

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1912786997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22804 NE 185TH CIR",
            "city": "BRUSH PRAIRIE",
            "state": "WA",
            "postal_code": "986068301",
            "telephone_number": "626-319-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MAIN ST STE 200",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603404",
            "telephone_number": "626-319-9467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 N Oak Knoll Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911014171",
            "country_code": "US",
            "telephone_number": "626-319-9467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WONDER TREE DEVELOPMENTAL PSYCHOLOGY, A PROFESSIONAL ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "626-319-9467",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.