Active NPI
Laurie Marie Engelbeck, PH.D,, NCSP
- Clinical Psychologist
- Sammamish, WA
National Provider Identifier
1972855583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY 2056
- Practice address
- 3200 228TH Ave SE
Sammamish, WA 98075-9208 - Phone
- (425) 837-5711
- Fax
- (425) 837-5762
- NPI assigned
- Oct 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY 2056 | WA | Primary |
Addresses
Primary practice location
3200 228TH Ave SE
Sammamish, WA 98075-9208
Mailing address
3200 228TH Ave SE
Sammamish, WA 98075-9208
Phone (425) 837-5711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 2056 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349395200000",
"number": "1972855583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 228TH AVE SE",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980759208",
"telephone_number": "425-837-5711",
"fax_number": "425-837-5762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 228TH AVE SE",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980759208",
"telephone_number": "425-837-5711",
"fax_number": "425-837-5762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGELBECK",
"first_name": "LAURIE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PH.D,, NCSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-05",
"last_updated": "2012-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY 2056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sammamish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.