Marc David Redmon, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00003507 Issued in WA

Practice address

316 Maple Ave # B
Snohomish, WA 98290-2526

Phone

(206) 380-6142

NPI assigned

Jul 6, 2006

Last updated

May 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1194756288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 AVENUE D # 423",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982901742",
            "telephone_number": "206-380-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MAPLE AVE # B",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902526",
            "telephone_number": "206-380-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMON",
        "first_name": "MARC",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00003507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7139835",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE - CLINICAL PSYCHOLOGIST",
            "identifier": "PY00003507",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Leeann Rasor, ND
• Jennifer S Read, N.D., EAMP.
• Lacey Redding, MA
• Redmon Psychological Services, Incorporated
• Linda Redmon, MS, CN, LMP
• Brittany Reed, LMP
• Charlotte Reed, OTR/L
• Lora Gahagan Eddy Reeves, MS, RD, LD
• Karisa Reinhard, LMP, DOULA
• Hilary Rose Reintges

• Clinical Psychologist in Snohomish, WA
• Providers in Snohomish, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.