Individual provider Active NPI

Wayne C. Dees, PSY.D

  • Clinical Neuropsychologist
  • Burien, WA
National Provider Identifier
1275526949
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY3311 Issued in WA
Practice address
14212 Ambaum Blvd SW
Suite 103
Burien, WA 98166
Phone
(206) 217-4530
Fax
(206) 217-4533
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X RC00052944 WA
Clinical Neuropsychologist 103G00000X PY3311 WA Primary

Addresses

Primary practice location

14212 Ambaum Blvd SW
Suite 103
Burien, WA 98166

Mailing address

P.O. Box 66397
Burien, WA 98166
Phone (206) 217-4530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140807000793 TX Practitioner - Clinical Psychologist 4486610979 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Austin Center for Therapy and AssessmentGroup PAC ID 0648588061, 8 clinicians

Practice addresses (Care Compare)

14405 Walters Rd
Suite 142
Houston, TX 77014-1359
Phone (281) 929-8998

5920 W William Cannon Dr
BLDG 6 222
Austin, TX 78749-1909
Phone (512) 282-2282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
RC00052944WAMDCounselor
PY3311WAMDClinical Neuropsychologist
34276TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
On Site Counseling,Inc. CurrentSince May 1, 2005 Accepting new patients
Austin Center for Therapy and Assessment CurrentSince Jul 6, 2015 Accepting new patients
Neuropsychology Clinic of Houston PLLC Clinical Neuropsychologist CurrentSince Jan 2, 2024 Accepting new patients

Locations

5920 W William Cannon Dr
Bldg 6-222
Austin, TX 78749
Phone (512) 282-2282

3007 Caroline St
Houston, TX 77004
Phone (713) 528-2328

14405 Walters Rd
Ste 142
Houston, TX 77014
Phone (281) 407-7911

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1275526949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 66397",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "98166",
            "telephone_number": "206-217-4530",
            "fax_number": "206-217-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14212 AMBAUM BLVD SW",
            "address_2": "SUITE 103",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "98166",
            "telephone_number": "206-217-4530",
            "fax_number": "206-217-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEES",
        "first_name": "WAYNE",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC00052944",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WA",
            "license": "PY3311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.