Skye Camphouse

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY60428551 Issued in WA

Practice address

21907 64TH Ave W
Suite 200
Mountlake Terrace, WA 98043-2200

Phone

(425) 583-2184

NPI assigned

Jun 20, 2014

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

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 Apr 29, 2024 through Apr 29, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bluestone Psychological Services, LLC

  • Mental Health Counselor
  • Edmonds, WA
  • NPI 1811269624
  NPD (past)

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1144634817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8727 1ST ST SE",
            "address_2": "#B",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982583345",
            "telephone_number": "425-583-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21907 64TH AVE W",
            "address_2": "SUITE 200",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432200",
            "telephone_number": "425-583-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPHOUSE",
        "first_name": "SKYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60428551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Byrnes
• Ana Raquel Caballero
• Kirsty Ann Cain, OTR
• Calibrate Chiropractic, PLLC
• Carrie Campbell
• Michelle Cangialosi
• Peiyi Cao
• Caring for Our Own Home Health and Hospice Care, LLC
• David Carlile
• Anne Seagle Carpenter, LCMSW

• Psychologist in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.