Active NPI
Tricia L Teneycke, PSYD, LMHC, ATR-BC
- Clinical Psychologist
- Seattle, WA
National Provider Identifier
1346553070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY60410848
- Practice address
- 509 Olive Way Ste 1025
Seattle, WA 98101-1710 - Phone
- (206) 387-5544
- NPI assigned
- Jul 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY60410848 | WA | Primary |
| Mental Health Counselor | 101YM0800X | LH00009170 | WA |
Addresses
Primary practice location
509 Olive Way Ste 1025
Seattle, WA 98101-1710
Mailing address
509 Olive Way Ste 1025
Seattle, WA 98101-1710
Phone (206) 387-5544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00009170 | Other | WA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00009170 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653609600000",
"number": "1346553070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 OLIVE WAY STE 1025",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011710",
"telephone_number": "206-387-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 OLIVE WAY STE 1025",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011710",
"telephone_number": "206-387-5544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENEYCKE",
"first_name": "TRICIA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PSYD, LMHC, ATR-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-22",
"last_updated": "2022-05-27",
"certification_date": "2022-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60410848",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00009170",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "00009170",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.