Trista Michelle Huckleberry, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

36333 Issued in TX

Practice address

5224 Wilson Ave S
Suite 202
Seattle, WA 98118-2587

Phone

(206) 725-1820

NPI assigned

Dec 25, 2010

Last updated

Feb 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Belor Home Health, Inc

  • Home Health Agency
  • Houston, TX
  • NPI 1699863076
  NPD (past)

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

{
    "created_epoch": "1293235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1326342866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 STAFFORD RD",
            "address_2": "APT 1118",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773574",
            "telephone_number": "346-207-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5224 WILSON AVE S",
            "address_2": "SUITE 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182587",
            "telephone_number": "206-725-1820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9401 Southwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770741407",
            "country_code": "US",
            "telephone_number": "713-970-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUCKLEBERRY",
        "first_name": "TRISTA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-25",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristiina K Huckabay, AUD
• Rebekah Leanne Huckaby, MD
• Nicole Lynn Huckeba
• Huckleberry Behavioral Solutions
• Huckleberry Counseling Services LLC
• Gretchen S. Hucks, RN
• Huda NP, PLLC
• Piruz Huda, ARNP
• Sheree Anne Huddle-Volz, B.A
• Thomas M Huddle, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.