Individual provider Active NPI

George Ankuta, PH.D.

  • Clinical Psychologist
  • Burien, WA
National Provider Identifier
1184635823
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1712 Issued in WA
Practice address
16259 Sylvester Rd SW
Ste 504
Burien, WA 98166-3059
Phone
(206) 241-9068
Fax
(206) 241-2651
NPI assigned
Aug 10, 2006
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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 1712 WA Primary

Addresses

Primary practice location

16259 Sylvester Rd SW
Ste 504
Burien, WA 98166-3059

Mailing address

16110 8TH Ave SW
Burien, WA 98166-2962
Phone (206) 241-9068

Other identifiers 1

IdentifierTypeStateIssuer
76834MedicaidWA

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
I20060926000508 WA Practitioner - Clinical Psychologist 4284639204 Practice locations: Burien, WA; Seattle, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 W Harrison St
Suite 330
Seattle, WA 98119-4116
Phone (206) 241-9068

16110 8TH Ave SW
Suite B1 a
Burien, WA 98166-2962
Phone (206) 241-9068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1712WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
NW Pain Management and Rehabilitation Associates, Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1184635823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16110 8TH AVE SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662962",
            "telephone_number": "206-241-9068",
            "fax_number": "206-241-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16259 SYLVESTER RD SW",
            "address_2": "STE 504",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663059",
            "telephone_number": "206-241-9068",
            "fax_number": "206-241-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANKUTA",
        "first_name": "GEORGE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "1712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76834",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.