HOLLY PARK MEICAL AND DENTAL CLINIC
NPI 1538351085
Psychologist - Clinical in Seattle, WA

Active since August 17, 2007
3815 S OTHELLO ST, 2ND FL., SEATTLE, WA 98118(206) 788-3500(206) 788-3521 Get Directions Write a Review

NPPES record last updated: August 17, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Holly Park Meical And Dental Clinic NPPES

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

HOLLY PARK MEICAL AND DENTAL CLINIC (NPI 1538351085) is a healthcare organization registered as a clinical in Seattle, Washington and active in the NPI registry since August 2007. The organization lists Peggy Phung, Assistant Finance Manager, as its authorized official.

NPPES Registry Identity

NPI1538351085
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameINTERNATIONAL COMMUNITY HEALTH SERVICES
Location Address3815 S OTHELLO ST, 2ND FL.Seattle, WA 98118-3510
Mailing AddressPo Box 3007Seattle, WA 98114-3007
Fax(206) 788-3521
Organization SubpartNo
Authorized OfficialPeggy PhungAssistant Finance Manager · (206) 788-3605
Enumeration DateAugust 17, 2007
NPI 1538351085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
3815 S OTHELLO ST, Seattle, WA 98118

Other Names 1

Other NameHolly Park Meical And Dental Clinic

Other Identifiers 1

Medicaid7137854WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Nurse Practitioner (Family)
3815 S OTHELLO ST
SEATTLE, WA 98118
Nurse Practitioner (Family)
3815 S OTHELLO ST
SEATTLE, WA 98118
Nurse Practitioner (Family)
3815 S OTHELLO ST
SEATTLE, WA 98118
Obstetrics & Gynecology (Obstetrics)
3815 S OTHELLO ST
SEATTLE, WA 98118
Physician Assistant
3815 S OTHELLO ST
SEATTLE, WA 98118
Family Medicine
3815 S OTHELLO ST, 2ND FLOOR
SEATTLE, WA 98118
Nurse Practitioner (Family)
3815 S OTHELLO ST
SEATTLE, WA 98118
Physician Assistant
3815 S OTHELLO ST
SEATTLE, WA 98118

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 International Community Health Services's NPI number?

The NPI number for International Community Health Services is 1538351085. It was assigned to this organization in the NPPES registry on August 17, 2007. The provider is also known as Holly Park Meical And Dental Clinic.

Where is International Community Health Services located?

International Community Health Services is located at 3815 S Othello St 2nd Fl., Seattle, WA 98118. The listed phone number is (206) 788-3500.

What is International Community Health Services's specialty?

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

When was this NPI record last updated?

The NPPES record for International Community Health Services was last updated on August 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.