Elevation Psychological Services PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ELEVATION PSYCHOLOGICAL SERVICES PLLC

Practice address

2607 Bridgeport Way W Ste 2D
University Place, WA 98466-4725

Phone

(253) 446-2319

Fax

(253) 375-1653

NPI assigned

Jan 30, 2024

Organization subpart

No

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

Authorized official

Name

Ray Jason Katzenbach, PH.D.NPI 1538404116

Title

Member

Phone

(253) 486-7735

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Ray Jason Katzenbach, PH.D.

  • Counseling Psychologist
  • University Place, WA
  • NPI 1538404116
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746316800000",
    "number": "1972366334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 BRIDGEPORT WAY W STE 2D",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664725",
            "telephone_number": "253-486-7735",
            "fax_number": "253-375-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 BRIDGEPORT WAY W STE 2D",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664725",
            "telephone_number": "253-446-2319",
            "fax_number": "253-375-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2025-05-04",
        "certification_date": "2025-05-04",
        "status": "A",
        "authorized_official_last_name": "KATZENBACH",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "253-486-7735",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward L Coyle PH.D. PLLC
• Dustin Edwards
• Thadra Clairpatra Edwards
• Zelia Ann Nalani Elam, BSW
• Elevation Home Care Inc
• Marnee Lynn Ellis, LMP
• Ashley Elynn Elmer, LMP
• Almar May Alba Elmore, MAED, CCC-SLP
• Addison Marie Emberson, MSP
• Emerald City Behavioral Health (Emerald City Youth)

• Adult Mental Health Clinic/Center in University Place, WA
• Providers in University Place, WA by specialty
• Adult Mental Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2025; 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.