AUDRA STAVE
NPI 1205236650
Psychologist - Clinical in Vancouver, WA

Q: What is Audra Stave's NPI number?

The NPI number for Audra Stave is 1205236650. It was assigned to this individual provider in the NPPES registry on September 3, 2014.

Q: What is Audra Stave's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Audra Stave was last updated on August 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 03, 2014

13501 NE 28TH ST, VANCOUVER, WA 98682(360) 604-6700 Get Directions Write a Review

NPPES record last updated: August 7, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2018, Oct 12, 2016 (2 updates tracked since 2016).

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About Audra Stave NPPES

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

AUDRA STAVE (NPI 1205236650) is an individual clinical provider in Vancouver, Washington, licensed in Washington (PY60794634) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1205236650

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameAUDRA STAVE

Location Address13501 NE 28TH STVancouver, WA 98682

Mailing AddressPo Box 8910Vancouver, WA 98668-8910 · (360) 604-6700

Phone(360) 604-6700

Sole ProprietorNo

Enumeration DateSeptember 3, 2014

Last NPPES UpdateAugust 7, 20182 updates tracked since enumeration

✔ NPI 1205236650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WA · PY60794634

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

13501 NE 28TH ST, Vancouver, WA 98682

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Other Providers at the Same Location NPPES 20

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