Dr. Mara Catherine Gustafson (NPI# 1811599483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1811599483 |
| Entity Type | Individual |
| Full Name | Dr. Mara Catherine Gustafson |
| Credential | PHD |
| Gender | Female |
| Practice Address |
10625 Dixon Dr S Seattle WA 98178-2718 |
| Practice Telephone | 8478270700 |
| Mailing Address |
10625 Dixon Dr S Seattle WA 98178-2718 |
| Mailing Telephone | 2069290492 |
| Sole Proprietor | Yes, this individual is a Sole Proprietor |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2020-11-10 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | PY61031462 | WA |
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871198416 | Karen Tanzy | Psychologist | 2208 Nw Market St Ste 315a, Seattle, WA 98107-4049 | 2020-12-02 |
| 1124638333 | Natalie Elyse Schwartz | Psychologist | 928 Nw 52nd St Unit A, Seattle, WA 98107-3648 | 2020-08-03 |
| 1679116321 | Aspinwall Therapy and Assessment LLC | Psychologist | 2470 Westlake Ave N Ste 101, Seattle, WA 98109-2282 | 2019-10-25 |
| 1285299354 | Herlina Pranata | Psychologist | 1565 Cherrylane Ave S, Seattle, WA 98144-3521 | 2019-05-04 |
| 1083184550 | Robert A Beattey Jr. | Psychologist | 910 10th Ave E Apt 205, Seattle, WA 98102-4556 | 2018-11-27 |
| 1912492828 | One Medical Group of Washington, P.C. | Psychologist | 625 Boren Avenue North, Seattle, WA 98109 | 2018-06-25 |
| 1497263859 | Leah Boisen | Psychologist | 226 Summit Ave E Ste 203, Seattle, WA 98102-5619 | 2018-01-18 |
| 1578073649 | Michelle A Proulx | Psychologist | 614 W Mcgraw St # 202, Seattle, WA 98119-2888 | 2017-10-03 |
| 1225553159 | Jennifer Chain | Psychologist | 5306 Ballard Ave Nw Ste 212, Seattle, WA 98107 | 2017-08-11 |
| 1427571652 | Cory David Secrist | Psychologist | 1417 Nw 54th St Ste 372, Seattle, WA 98107-3575 | 2017-07-19 |
| Find all providers in SEATTLE | ||||
| Street Address |
10625 DIXON DR S |
| City | SEATTLE |
| State | WA |
| Zip Code | 98178-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417474990 | Jerid Norbert Stevenot | Occupational Therapist | 12037 80th Ave S, Seattle, WA 98178 | 2017-08-25 |
| 1518203785 | Pioneer Human Services | Substance Abuse Rehabilitation Facility | 11900 Beacon Avenue S., Seattle, WA 98178 | 2012-12-17 |
| 1740514439 | Jae Lyung Hur | Dentist | 7632 S 126th St., Seattle, WA 98178 | 2009-09-28 |
| 1649411190 | Premier Nursing Care Agency | Registered Nurse | 5707 South Augusta St, Seattle, WA 98178 | 2009-03-13 |
| 1861641177 | Bonnie M Lee | Massage Therapist | 10460 Waters Ave S., Seattle, WA 98178 | 2008-09-10 |
| 1558424473 | Planned Parenthood of The Great Northwest and The Hawaiian Islands | Obstetrics & Gynecology | 2001 East Madison Street, Seattle, WA 98178 | 2006-12-19 |
| 1689787913 | Brian Wilhoi Chan | Chiropractor | 12419 Rentan Ave S, Seattle, WA 98178 | 2006-08-17 |
| 1780110106 | Rachael Bowler | Student in an Organized Health Care Education/Training Program | 12430 83rd Ave S, Seattle, WA 98178 | 2017-05-04 |
| 1508392937 | Tam Pham | Behavior Technician | 12430 83rd Ave S, Seattle, WA 98178 | 2017-05-04 |
| 1093241424 | Brenda Taylor | Behavior Technician | 12430 83rd Ave S, Seattle, WA 98178 | 2017-05-04 |
| Find all providers in zip 98178 | ||||
Please comment or provide details below to improve the information on Dr. Mara Catherine Gustafson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.