Active NPI
Travis Valdez, DO
- Psychiatry Physician
- Olympia, WA
National Provider Identifier
1386147114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0102205812
- Practice address
- 400 Union Ave SE
Suite 200 (Private Office 223)
Olympia, WA 98501-2059 - Phone
- (332) 264-9443
- NPI assigned
- Mar 18, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0102205812 | VA | Primary |
| Psychiatry Physician | 2084P0800X | 345940 | NY | |
| Psychiatry Physician | 2084P0800X | DO.OP.70139265 | WA | |
| Psychiatry Physician | 2084P0800X | 20A25986 | CA |
Addresses
Primary practice location
400 Union Ave SE
Suite 200 (Private Office 223)
Olympia, WA 98501-2059
Mailing address
109 W 27TH St RM 5S
New York, NY 10001-6208
Phone (332) 264-9443
Other practice location 1
7921 Kingswood Dr Ofc 225-G
Citrus Heights, CA 95610-7710
Phone (332) 264-9443
Other practice location 2
109 W 27th St
Suite 5S
New York, NY 10001
Phone (332) 264-9443
Other practice location 3
150 Riverside Parkway
Suite 115 (Private Office 121)
Fredericksburg, VA 22406-1094
Phone (332) 264-9443
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102205812 | VA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1386147114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W 27TH ST RM 5S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016208",
"telephone_number": "332-264-9443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 UNION AVE SE",
"address_2": "SUITE 200 (PRIVATE OFFICE 223)",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985012059",
"telephone_number": "332-264-9443"
}
],
"practiceLocations": [
{
"address_1": "7921 Kingswood Dr Ofc 225-G",
"address_purpose": "LOCATION",
"city": "Citrus Heights",
"state": "CA",
"postal_code": "956107710",
"country_code": "US",
"telephone_number": "332-264-9443",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "109 W 27th St",
"address_2": "Suite 5S",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10001",
"country_code": "US",
"telephone_number": "332-264-9443",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "150 Riverside Parkway",
"address_2": "Suite 115 (Private Office 121)",
"address_purpose": "LOCATION",
"city": "Fredericksburg",
"state": "VA",
"postal_code": "224061094",
"country_code": "US",
"telephone_number": "332-264-9443",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALDEZ",
"first_name": "TRAVIS",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-18",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0102205812",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "345940",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "DO.OP.70139265",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "20A25986",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.