Individual provider Active NPI

Patrick J Nalbone, PHD

  • Psychologist
  • Olympia, WA
National Provider Identifier
1174518658
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY1862 Issued in WA
Practice address
2617 12TH CT SW
Suite 5
Olympia, WA 98502-1022
Phone
(360) 754-3382
Fax
(360) 352-7881
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY1862 WA Primary

Addresses

Primary practice location

2617 12TH CT SW
Suite 5
Olympia, WA 98502-1022

Mailing address

2617 12TH CT SW
Suite 5
Olympia, WA 98502-1022
Phone (360) 754-3382

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
I20091222000435 WA Practitioner - Clinical Psychologist 8628118742 Practice locations: Seattle, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

402 NE 72ND St
Suite 5
Seattle, WA 98115-5456
Phone (206) 491-2823

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY1862WAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Simon Livingstone, M.D. P.L.L.C. Past Accepting new patients
Patricia a. Valdez RN MSW CSW PS Past Accepting new patients

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174518658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 12TH CT SW",
            "address_2": "SUITE 5",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021022",
            "telephone_number": "360-754-3382",
            "fax_number": "360-352-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 12TH CT SW",
            "address_2": "SUITE 5",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021022",
            "telephone_number": "360-754-3382",
            "fax_number": "360-352-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALBONE",
        "first_name": "PATRICK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY1862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.