Active NPI
Mary Lee Webb, PH.D.
- Clinical Psychologist
- Blaine, WA
National Provider Identifier
1376722785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- TE00003766
- Practice address
- 225 Marine Dr
Suite 100
Blaine, WA 98230-4027 - Phone
- (360) 922-0155
- NPI assigned
- Nov 1, 2007
- 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 | PSY-202086 | ID | |
| Clinical Psychologist | 103TC0700X | TE00003766 | WA | Primary |
Addresses
Primary practice location
225 Marine Dr
Suite 100
Blaine, WA 98230-4027
Mailing address
1685 H St
PMB 1050
Blaine, WA 98230-5110
Phone (360) 922-0155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-202086 | ID | MD | Clinical Psychologist |
| TE00003766 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1376722785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1685 H ST",
"address_2": "PMB 1050",
"city": "BLAINE",
"state": "WA",
"postal_code": "982305110",
"telephone_number": "360-922-0155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 MARINE DR",
"address_2": "SUITE 100",
"city": "BLAINE",
"state": "WA",
"postal_code": "982304027",
"telephone_number": "360-922-0155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "MARY LEE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-01",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ID",
"license": "PSY-202086",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "TE00003766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blaine, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.