Duncan James Calver, PSYD – Psychologist

Key facts

NPI: 1407322381
Entity type: Individual (NPI type 1)
Primary specialty: Psychologist 103T00000X
License: PY61189478 (WA)
Practice address: 945 11TH Ave Ste B
Longview, WA 98632-2555
Phone: (360) 414-8600
Fax: (360) 636-7372
NPI assigned: Oct 18, 2018
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

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.

Northwest Psychological Resources LLC Clinical Neuropsychologist · Longview, WA · NPI 1811079049

Medicare reassignment Care Compare group NPD PSYCHOLOGIST · WA

Medicare Care Compare profile

Specialty: Clinical Psychologist
Education: Other, 2020
Medicare assignment: May accept Medicare assignment
Group practices: Northwest Psychological Resources LLC (12 clinicians)

Practice addresses (Care Compare)

945 11TH Ave
Suite B
Longview, WA 98632-2555
Phone (360) 414-8600

Medicare participation

Medicare fee-for-service enrollment: Enrolled in WA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20220718003803	WA	Practitioner - Clinical Psychologist	1052792371	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
MC60701724	WA	MD	Mental Health Counselor
PY61189478	WA	MD	Psychologist

Practice roles

Organization	Specialty	Status	New patients
Northwest Psychological Resources LLC	Psychologist	Current since Jul 6, 2022	Accepting new patients

Locations

945 11th Ave
Ste B
Longview, WA 98632
Phone (360) 414-8600

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	MC60701724	WA
Psychologist	103T00000X	PY61189478	WA	Yes

Addresses

Primary practice location

945 11TH Ave Ste B
Longview, WA 98632-2555

Mailing address

945 11TH Ave Ste B
Longview, WA 98632-2555
Phone (360) 414-8600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 4, 2022.

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1407322381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 11TH AVE STE B",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322555",
            "telephone_number": "360-414-8600",
            "fax_number": "360-636-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 11TH AVE STE B",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322555",
            "telephone_number": "360-414-8600",
            "fax_number": "360-636-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVER",
        "first_name": "DUNCAN",
        "middle_name": "JAMES",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-18",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60701724",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY61189478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

All providers in Longview, WA · Psychologist in Washington

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.