Active NPI
Duane Matthew Brickell, M.ED., PSY.D.
- Psychologist
- Issaquah, WA
National Provider Identifier
1194054825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY60593648
- Practice address
- 1740 NW Maple St Ste 210
Issaquah, WA 98027 - Phone
- (206) 696-0802
- NPI assigned
- Dec 8, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY60593648 | WA | Primary |
Addresses
Primary practice location
1740 NW Maple St Ste 210
Issaquah, WA 98027
Mailing address
1740 NW Maple St Ste 210
Issaquah, WA 98027-8127
Phone (206) 696-0802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2025 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY60593648 | WA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1194054825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 NW MAPLE ST STE 210",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980278127",
"telephone_number": "206-696-0802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 NW MAPLE ST STE 210",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "98027",
"telephone_number": "206-696-0802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRICKELL",
"first_name": "DUANE",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "M.ED., PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-08",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY60593648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.