Active NPI
Jane Ellen Curtis, PH.D.
- Clinical Psychologist
- Bainbridge Island, WA
National Provider Identifier
1295926210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY00002202
- Practice address
- 11290 Sunrise Dr NE
Bainbridge Island, WA 98110-1353 - Phone
- (206) 780-7782
- Fax
- (206) 780-1964
- NPI assigned
- Aug 6, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY00002202 | WA | Primary |
Addresses
Primary practice location
11290 Sunrise Dr NE
Bainbridge Island, WA 98110-1353
Mailing address
11290 Sunrise Dr NE
Bainbridge Island, WA 98110-1353
Phone (206) 780-7782
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110912000548 | WA | Practitioner - Clinical Psychologist | 3678744208 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lifespan Psychological Services PS
Practice addresses (Care Compare)
11290 Sunrise Dr NE
Suite B
Bainbridge Island, WA 98110-1353
Phone (206) 780-7782
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00002202 | WA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Assessment Services, PLLC | Clinical | Current | Accepting new patients |
| Lifespan Psychological Services, PS | Clinical | Current | Accepting new patients |
Locations
11290 Sunrise Dr NE
Ste B
Bainbridge Island, WA 98110
Phone (206) 714-8905
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Bainbridge Island, WA
- NPI 1366503633
Clinical, WA
-
- Clinical Psychologist
- Bainbridge Island, WA
- NPI 1417793852
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186358400000",
"number": "1295926210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11290 SUNRISE DR NE",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981101353",
"telephone_number": "206-780-7782",
"fax_number": "206-780-1964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11290 SUNRISE DR NE",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981101353",
"telephone_number": "206-780-7782",
"fax_number": "206-780-1964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CURTIS",
"first_name": "JANE",
"middle_name": "ELLEN",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-06",
"last_updated": "2007-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY00002202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bainbridge Island, WA
- Cornerstone Ocd Anxiety Group
- David B Cowan, MD
- Blain A Crandell, MD
- Kate Esther Crandell, LMT
- Creative Human Solutions, LLC
- Steven Eric Curtis, PH.D.
- Robyn Dabell, PHYSICAL THERAPIST
- Kelly Leighton Danielson, OTD, MOT, OTR/L
- David J Kang DMD Ms MMSC and Michael J Kang DMD MMSC PLLC
- Davinci Physical Therapy PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.