Active NPI
Alisa Lynn Murray, PH.D., E-R.Y.T.
- Clinical Psychologist
- Kent, WA
National Provider Identifier
1265457576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY00002020
- Practice address
- 26461 104TH Ave SE
Kent, WA 98030-7668 - Phone
- (253) 242-8828
- NPI assigned
- Jul 13, 2006
- Last updated
- Feb 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY00002020 | WA | |
| Clinical Psychologist | 103TC0700X | PY00002020 | WA | Primary |
Addresses
Primary practice location
26461 104TH Ave SE
Kent, WA 98030-7668
Mailing address
26461 104TH Ave SE
Kent, WA 98030-7668
Phone (253) 242-8828
Other names 1
- Dr. Alisa Lynn Ostgard-Murray
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, 2023 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00002020 | WA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alisa Murray PHD LLC | Clinical | Current | Accepting new patients |
| Good Samaritan Hospital | Past | Accepting new patients | |
| Valley Counseling Associates | Past | Accepting new patients |
Locations
26461 104th Ave SE
Kent, WA 98030
Phone (253) 242-8828
14900 Interurban Ave S
Ste 271
Tukwila, WA 98168
Phone (206) 579-3926
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1265457576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26461 104TH AVE SE",
"city": "KENT",
"state": "WA",
"postal_code": "980307668",
"telephone_number": "253-242-8828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26461 104TH AVE SE",
"city": "KENT",
"state": "WA",
"postal_code": "980307668",
"telephone_number": "253-242-8828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "ALISA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PH.D., E-R.Y.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY00002020",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY00002020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALISA",
"last_name": "OSTGARD-MURRAY",
"middle_name": "LYNN",
"prefix": "DR.",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.