Organization Active NPI

Adams Center for Psychological Wellness, LLC

  • Clinical Psychologist
  • Vancouver, WA
National Provider Identifier
1982976387
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY00002966 Issued in WA
Legal business name
ADAMS CENTER FOR PSYCHOLOGICAL WELLNESS, LLC
Practice address
1498 SE Tech Center PL
Suite 385
Vancouver, WA 98683-9591
Phone
(360) 980-1338
NPI assigned
Jan 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Ms. Michelle D. Adams
Title
Office Manager
Phone
(360) 980-1338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY00002966 WA Primary

Addresses

Primary practice location

1498 SE Tech Center PL
Suite 385
Vancouver, WA 98683-9591

Mailing address

3514 SE 181St Ave
Vancouver, WA 98683-8272
Phone (360) 980-1338

Other names 1

  • ACPW Doing business as

National Provider Directory

National Provider Directory

Locations

1498 SE Tech Center Pl
Ste 385
Vancouver, WA 98683
Phone (360) 654-7567

NPI Registry JSON

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1982976387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 SE 181ST AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838272",
            "telephone_number": "360-980-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 SE TECH CENTER PL",
            "address_2": "SUITE 385",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839591",
            "telephone_number": "360-980-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS CENTER FOR PSYCHOLOGICAL WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-980-1338",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00002966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACPW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 1, 2015; 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.