Provider Type Icon

SUNRISE PSYCHOLOGY LLC NPI 1205289360


NPI Information

NPI: 1205289360
Provider Name: SUNRISE PSYCHOLOGY, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4113 BRIDGEPORT WAY W
STE C1
UNIVERSITY PLACE, WA
ZIP 98466
Phone: (253) 987-6825
Get Directions

SUNRISE PSYCHOLOGY, LLC is a mental health counselor in University Place, WA. SUNRISE PSYCHOLOGY, LLC NPI is 1205289360. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4113 BRIDGEPORT WAY W
STE C1
UNIVERSITY PLACE, WA
ZIP 98466-325
Phone: (253) 987-6825
Fax: (253) 590-0875

The provider's authorized official is Dawn Michelle Breikss .
The authorized official title is Therapist / Owner and has the following contact phone number (253) 987-6825.

The enumeration date for this NPI number is 7/13/2016 and was last updated on 11/16/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthLH 60231168WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12023189MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.