Organization Active NPI

Paulenich Mental Health

  • Psychologist
  • Ferndale, WA
National Provider Identifier
1972160265
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
PAULENICH MENTAL HEALTH
Practice address
2413 Main St Ste 204
Ferndale, WA 98248-8827
Phone
(360) 296-3989
NPI assigned
May 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Ariel PaulenichNPI 1114462645
Title
Owner
Phone
(360) 296-3989

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

2413 Main St Ste 204
Ferndale, WA 98248-8827

Mailing address

PO Box 3134
Ferndale, WA 98248-3134
Phone (360) 296-3989

Other identifiers 1

IdentifierTypeStateIssuer
2072909MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190911002170 WA Part B Supplier - Clinic/Group Practice 5395074645 Receives reassigned benefits from 1 practitioner
Practice locations: Ferndale, WA

National Provider Directory

National Provider Directory

Locations

1155 N State St
Ste 316
Bellingham, WA 98225
Phone (360) 676-1088

2413 Main St
Ste 204
Ferndale, WA 98248
Phone (360) 296-3989

2413 Main St
Ste 101
Ferndale, WA 98248
Phone (360) 296-3989

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": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1972160265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3134",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982483134",
            "telephone_number": "360-296-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 MAIN ST STE 204",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982488827",
            "telephone_number": "360-296-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULENICH MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "PAULENICH",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-296-3989"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2072909",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.