Active NPI
Daniel A Tomczyk, PH.D.
- Clinical Psychologist
- Redmond, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY60620631
- Practice address
- 8275 166TH Ave NE Ste 200
Redmond, WA 98052-6629 - Phone
- (425) 869-2644
- Fax
- (425) 867-0930
- NPI assigned
- Sep 17, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY60620631 | WA | Primary |
Addresses
Primary practice location
8275 166TH Ave NE Ste 200
Redmond, WA 98052-6629
Mailing address
8275 166TH Ave NE Ste 200
Redmond, WA 98052-6629
Phone (425) 869-2644
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8275 166TH Ave NE
Suite 200
Redmond, WA 98052-6629
Phone 42586926440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY60620631 | WA | MD | Clinical Psychologist |
| 34307 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emmaus Counseling Service PS | Current | Accepting new patients | |
| Deer Oaks Mental Health Associates PC | Clinical | Past | Accepting new patients |
Locations
2122 112th Ave NE
Ste B200
Bellevue, WA 98004
8275 166th Ave NE
Ste 102
Redmond, WA 98052
Phone 42586926440
8275 166th Ave NE
Ste 200
Redmond, WA 98052
Phone 4258692644 ext. 17
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Redmond, WA
- NPI 1548321789
-
- Clinical Psychologist
- Las Cruces, NM
- NPI 1134175763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1114250495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8275 166TH AVE NE STE 200",
"city": "REDMOND",
"state": "WA",
"postal_code": "980526629",
"telephone_number": "425-869-2644",
"fax_number": "425-867-0930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8275 166TH AVE NE STE 200",
"city": "REDMOND",
"state": "WA",
"postal_code": "980526629",
"telephone_number": "425-869-2644",
"fax_number": "425-867-0930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMCZYK",
"first_name": "DANIEL",
"middle_name": "A",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-17",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60620631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.