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PUGET SOUND SENIOR PSYCHOLOGY, LLC
NPI 1053769844
Custodial Care Facility - Adult Care Home in Vancouver, WA

Active since June 02, 2016
9340 NE 76TH ST, VANCOUVER, WA 98662(360) 253-4912(360) 253-5170 Get Directions Write a Review

NPPES record last updated: June 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Puget Sound Senior Psychology, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PUGET SOUND SENIOR PSYCHOLOGY, LLC (NPI 1053769844) is a healthcare organization registered as an adult care home in Vancouver, Washington and active in the NPI registry since June 2016. The organization lists David Agnor, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1053769844
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NamePUGET SOUND SENIOR PSYCHOLOGY, LLC
Location Address9340 NE 76TH STVancouver, WA 98662-3721
Mailing Address9340 Ne 76th StVancouver, WA 98662-3721 · (360) 253-4912 · Fax (360) 253-5170
Phone(360) 253-4912
Fax(360) 253-5170
Organization SubpartNo
Authorized OfficialDavid AgnorExecutive Director · (360) 253-4912
Enumeration DateJune 2, 2016
✔ NPI 1053769844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in WA · PY1511
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
9340 NE 76TH ST, Vancouver, WA 98662
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Other Identifiers 1

Medicaid=========8WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANNELIESE J CORCORAN PHD
Psychologist (Clinical)
9340 NE 76TH ST, VANCOUVER
VANCOUVER, WA 98662
Clark County (360) 253-4912
DAVID W AGNOR PHD PC
Skilled Nursing Facility
9340 NE 76TH ST
VANCOUVER, WA 98662
Clark County (360) 253-4912
DR. DAVID W AGNOR PHD
Psychologist (Clinical)
9340 NE 76TH ST
VANCOUVER, WA 98662
Clark County (360) 253-4912
BRUCE SUMMERHILL
Counselor (Mental Health)
9340 NE 76TH ST
VANCOUVER, WA 98662
Clark County (360) 253-4912
SENIOR CONNECTIONS PSYCHIATRY PLLC.
Nurse Practitioner (Psychiatric/Mental Health)
9340 NE 76TH ST
VANCOUVER, WA 98662
Clark County (360) 253-4912
MELINDA BALE LMT, PY
Psychologist
9340 NE 76TH ST
VANCOUVER, WA 98662
Clark County (360) 253-4912
DAVID W AGNOR PHD PC
Skilled Nursing Facility
9340 NE 76TH ST
VANCOUVER, WA 98662
Clark County (360) 253-4912
ROSEMARY IRENE PIPER PHD
Psychologist (Clinical)
9340 NE 76TH ST
VANCOUVER, WA 98662
Clark County (360) 253-4912

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Puget Sound Senior Psychology, LLC's NPI number?

The NPI number for Puget Sound Senior Psychology, LLC is 1053769844. It was assigned to this organization in the NPPES registry on June 2, 2016.

Where is Puget Sound Senior Psychology, LLC located?

Puget Sound Senior Psychology, LLC is located at 9340 NE 76th St, Vancouver, WA 98662. The listed phone number is (360) 253-4912.

What is Puget Sound Senior Psychology, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Puget Sound Senior Psychology, LLC was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.