Individual provider Active NPI

Jeffrey McCall, PSYD

  • Psychologist
  • Silverdale, WA
National Provider Identifier
1245641406
Registry record updated Apr 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY00003626 Issued in WA
Practice address
2819 NW Kitsap PL
Silverdale, WA 98383-7686
Phone
(253) 241-5237
Fax
(360) 718-3898
NPI assigned
May 9, 2014
Last updated
Apr 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY00003626 WA Primary

Addresses

Primary practice location

2819 NW Kitsap PL
Silverdale, WA 98383-7686

Mailing address

4446 Banner Rd SE
Port Orchard, WA 98366-8846
Phone (253) 241-5237

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
I20170921000003 WA Practitioner - Clinical Psychologist 2062786692 Practice locations: Silverdale, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9220 Ridgetop Blvd NW
Suite 100
Silverdale, WA 98383-8556
Phone (253) 241-5237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY00003626WAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743897600000",
    "number": "1245641406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4446 BANNER RD SE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983668846",
            "telephone_number": "253-241-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 NW KITSAP PL",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837686",
            "telephone_number": "253-241-5237",
            "fax_number": "360-718-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALL",
        "first_name": "JEFFREY",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-09",
        "last_updated": "2025-04-06",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00003626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.