Michael Retallick

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY70061210 Issued in WA

Practice address

1006 SW Melrose LN
Port Orchard, WA 98367-8306

Phone

(360) 633-6782

NPI assigned

Jun 8, 2017

Sex

Male

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)

Not enrolled

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 and National Provider Directory roles.

• L.E.a.P.S and Beyond, Inc

  • Community/Behavioral Health Agency
  • Oak Harbor, WA
  • NPI 1538504592
  NPD (past)
• L.E.a.P.S. and Beyond, Inc

  • Behavior Analyst
  • Port Orchard, WA
  • NPI 1083089981
  NPD (past)
• Pacific University

  • Adult Mental Health Clinic/Center
  • Hillsboro, OR
  • NPI 1700256989
  NPD (past)

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1326577784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 SW MELROSE LN",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983678306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 SW MELROSE LN",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983678306",
            "telephone_number": "360-633-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETALLICK",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY70061210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ailee S Regal
• Sana Rehman, MD
• Steven Resseguie
• Restoration Therapies
• Restorative Resilience Counseling PLLC
• R Garth Retallick, MS, LMHC
• Ethan Retonio
• Hector Decena Reyes Jr., MD
• Jana Rice, CDPT
• Tricia Richards, LMFT

• Psychologist in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.