Active NPI
Rebekah A Cline, PSY.D.
- Clinical Child & Adolescent Psychologist
- Tacoma, WA
National Provider Identifier
1134349616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PY60067812
- Practice address
- 1530 S Union Ave
Suite 16
Tacoma, WA 98405-1954 - Phone
- (253) 756-0323
- Fax
- (253) 756-0427
- NPI assigned
- Apr 26, 2007
- Last updated
- Mar 4, 2011
- Sex
- Female
- 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 Child & Adolescent Psychologist | 103TC2200X | PY60067812 | WA | Primary |
Addresses
Primary practice location
1530 S Union Ave
Suite 16
Tacoma, WA 98405-1954
Mailing address
1530 S Union Ave
Suite 16
Tacoma, WA 98405-1954
Phone (253) 756-0323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY60067812 | WA | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Psychological and Counseling Services LLC | Clinical Child & Adolescent | Past | Accepting new patients |
| Western Psychological and Counseling Services LLC | Past | Accepting new patients |
Interoperability endpoints
- lifestancehealth.rebekahcline@147765.advancedmd-direct.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba LifeStance Health
- Clinical Psychologist
- Vancouver, WA
- NPI 1629345731
Clinical Child & Adolescent
-
dba LifeStance Health
- Clinical Psychologist
- Tacoma, WA
- NPI 1912008178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1134349616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 S UNION AVE",
"address_2": "SUITE 16",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051954",
"telephone_number": "253-756-0323",
"fax_number": "253-756-0427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 S UNION AVE",
"address_2": "SUITE 16",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051954",
"telephone_number": "253-756-0323",
"fax_number": "253-756-0427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINE",
"first_name": "REBEKAH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "WA",
"license": "PY60067812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.