Olympia Neuropsychology

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

OLYMPIA NEUROPSYCHOLOGY

Doing business as

Olympia Neuropsychology

Practice address

2118 Caton Way SW
Olympia, WA 98502-1105

Phone

(360) 858-6802

NPI assigned

Mar 20, 2024

Last updated

Apr 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Babcock, PSY.D.NPI 1023422573

Title

Owner

Phone

(360) 858-6802

Specialties & licenses 1

Addresses

Other names 1

• Olympia Neuropsychology Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Lea Babcock, PSYD

  • Clinical Neuropsychologist
  • Olympia, WA
  • NPI 1023422573
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1396505046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 CATON WAY SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021105",
            "telephone_number": "360-858-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 CATON WAY SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021105",
            "telephone_number": "360-858-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIA NEUROPSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "BABCOCK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-858-6802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympia Neuropsychology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Olympia Neuropsychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olympia Multi Specialty Clinic
• Olympia Multi-Specialty Clinic Ambulatory Procedures CNTR PLLC
• Olympia Mutual Aid Partners
• Olympia Neurology, PLLC
• Olympia Neurology, PLLC (Brain & Spine Imaging Center)
• Olympia Obstetrics & Gynecology PLLC
• Olympia Orthopaedic Associates Physical Therapy (Olymympia Orthopaedic Associates, PLLC)
• Olympia Orthopaedic Associates PLLC (Centralia Surgery Center)
• Olympia Orthopaedic Associates, PLLC
• Olympia Orthopaedic Associates, PLLC (Olympia Orthopaedic Physical Therapy)

• Clinical Neuropsychologist in Olympia, WA
• Providers in Olympia, WA by specialty
• Clinical Neuropsychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.