Ann L. De Lancey, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 1691 Issued in WA

Practice address

3121 E Madison St
Seattle, WA 98112-4262

Phone

(206) 322-0131

NPI assigned

Apr 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Ann L. De Lancey Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 24, 2024 through Oct 24, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043435019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9125 VIEW AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981172654",
            "telephone_number": "206-322-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 E MADISON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124262",
            "telephone_number": "206-322-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LANCEY",
        "first_name": "ANN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY 1691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "DE LANCEY",
            "middle_name": "L.",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Amalia De la Iglesia
• Maria Teresa De la Morena, MD
• Juan De la Ossa, M.D.
• Erica J De la Riva
• Nina De Lacy, MD
• Carla Marcela De Leon Gonzalez, NATUROPATHIC DOCTOR
• Rualdo Ruben De Leon Polanco
• Claire Quintos De Leon, LMHC
• Glecy Guevarra De Leon, RN
• Ileana Graciela De Leon

• Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.