Dr. Mara Catherine Gustafson

Address: 10625 Dixon Dr S, Seattle, WA 98178-2718
Phone: 8478270700

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).

Provider Overview

Nation Provider Identifier (NPI) 1811599483
Entity Type Individual
Full Name Dr. Mara Catherine Gustafson
Credential PHD
Gender Female
Practice Address 10625 Dixon Dr S
WA 98178-2718
Practice Telephone 8478270700
Mailing Address 10625 Dixon Dr S
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

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 103T00000X Psychologist Behavioral Health & Social Service Providers PY61031462 WA

Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

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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
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1578073649 Michelle A Proulx Psychologist 614 W Mcgraw St # 202, Seattle, WA 98119-2888 2017-10-03
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Office Location

Street Address 10625 DIXON DR S
State WA
Zip Code 98178-2718

Providers in the same zip code

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
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Zip Code 98178

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Dataset Information

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.