Active NPI
Thomas M. Stallone, PSY.D.
- Health Service Psychologist
- Vancouver, WA
National Provider Identifier
1144296104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- PY1974
- Practice address
- 100 E 13TH St
Suite 105
Vancouver, WA 98660-3326 - Phone
- (360) 696-1646
- Fax
- (360) 571-8460
- NPI assigned
- Feb 28, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PY1974 | WA | |
| Clinical Psychologist | 103TC0700X | PY1974 | WA | |
| Health Service Psychologist | 103TH0100X | PY1974 | WA | Primary |
Addresses
Primary practice location
100 E 13TH St
Suite 105
Vancouver, WA 98660-3326
Mailing address
100 East 13TH Street,
Suite 105
Vancouver, WA 98660-3327
Phone (360) 696-1646
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 |
|---|---|---|---|
| PY1974 | WA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1144296104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 EAST 13TH STREET,",
"address_2": "SUITE 105",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986603327",
"telephone_number": "360-696-1646",
"fax_number": "360-571-8460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E 13TH ST",
"address_2": "SUITE 105",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986603326",
"telephone_number": "360-696-1646",
"fax_number": "360-571-8460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALLONE",
"first_name": "THOMAS",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "WA",
"license": "PY1974",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY1974",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "WA",
"license": "PY1974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.