Individual provider Active NPI

Daniel Allan Pratt, PSY.D.

  • Clinical Psychologist
  • Lakewood, WA
National Provider Identifier
1114396736
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60587903 Issued in WA
Practice address
9125 Bridgeport Way SW Ste 102
Lakewood, WA 98499-2448
Phone
(253) 652-5339
Fax
(253) 363-9163
NPI assigned
Sep 24, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY60587903 WA Primary

Addresses

Primary practice location

9125 Bridgeport Way SW Ste 102
Lakewood, WA 98499-2448

Mailing address

9125 Bridgeport Way SW Ste 102
Lakewood, WA 98499-2448
Phone (253) 652-5339

Other practice location 1

3142 N Baltimore St
Tacoma, WA 98407-3412
Phone (253) 652-5339

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151104002277 WA Practitioner - Clinical Psychologist 8820308703 Practice locations: Lakewood, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9125 Bridgeport Way SW
Suite 102
Lakewood, WA 98499-2448
Phone (253) 652-5339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY60587903WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Pratt Psychology PLLC Clinical CurrentSince Oct 1, 2024 Accepting new patients
Western Psychological and Counseling Services LLC Clinical Past Accepting new patients

Locations

522 W Riverside Ave
Ste 4608
Spokane, WA 99201

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.

NPI Registry JSON

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1114396736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9125 BRIDGEPORT WAY SW STE 102",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992448",
            "telephone_number": "253-652-5339",
            "fax_number": "253-363-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9125 BRIDGEPORT WAY SW STE 102",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992448",
            "telephone_number": "253-652-5339",
            "fax_number": "253-363-9163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3142 N Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984073412",
            "country_code": "US",
            "telephone_number": "253-652-5339",
            "fax_number": "253-363-9163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATT",
        "first_name": "DANIEL",
        "middle_name": "ALLAN",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60587903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.