Justin Steffener, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY60447862 Issued in WA

Practice address

15418 Main St
Mill Creek, WA 98012-9030

Phone

(425) 339-5453

Fax

(425) 225-8028

NPI assigned

Nov 11, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Center for Psychological Health LLCGroup PAC ID 4789008913, 4 clinicians

Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Optum Care Washington PLLC

  • Multi-Specialty Clinic/Center
  • Everett, WA
  • NPI 1831186766
  Medicare reassignment Care Compare group NPD
• The Center for Psychological Health, LLC

  • Clinical Psychologist
  • Federal Way, WA
  • NPI 1144694001
  Medicare reassignment Care Compare group NPD
• The Center for Family & Lifespan Development

  • Clinical Psychologist
  • Federal Way, WA
  • NPI 1508153859
  Medicare reassignment NPD
• Clearwater Therapy PLLC

  • Clinical Psychologist
  • Snohomish, WA
  • NPI 1720968530
  NPD Authorized official
• Optum Care Washington PLLC

  • Durable Medical Equipment & Medical Supplies
  • Marysville, WA
  • NPI 1194428425
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1013218767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127",
            "telephone_number": "425-339-5453",
            "fax_number": "425-225-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15418 MAIN ST",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980129030",
            "telephone_number": "425-339-5453",
            "fax_number": "425-225-8028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1728 W Marine View Dr",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982012094",
            "country_code": "US",
            "telephone_number": "425-339-5453",
            "fax_number": "425-252-4441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEFFENER",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-11",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60197538",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60447862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2061671",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah C Spears, ARNP
• Brenton Jose Sprague
• Tracy E. Springman, OTR/L, CHT
• Kristina Marie Spurlock, MA, LMHC
• Jacqueline Marie St Louis, LMP
• Orly P Steinberg, M.D.
• Steven a. Davis. O.D., P.S.
• Brienne Stewart
• Margaret Anne Stewart
• John W Stieber, DDS.PS

• Clinical Psychologist in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.