Active NPI
Michael Dean Rattray, PH.D.
- Clinical Psychologist
- Coupeville, WA
National Provider Identifier
1437234937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY00002279
- Practice address
- 105 NW 1St St
Coupeville, WA 98239 - Phone
- (360) 678-5555
- Fax
- (360) 678-3636
- NPI assigned
- Oct 25, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY00002279 | WA | Primary |
Addresses
Primary practice location
105 NW 1St St
Coupeville, WA 98239
Mailing address
105 NW First St
PO Box 160
Coupeville, WA 98239-0160
Phone (360) 678-5555
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 |
|---|---|---|---|
| PY00002279 | WA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Everett, WA
- NPI 1730136201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437234937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 NW FIRST ST",
"address_2": "PO BOX 160",
"city": "COUPEVILLE",
"state": "WA",
"postal_code": "982390160",
"telephone_number": "360-678-5555",
"fax_number": "360-678-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 NW 1ST ST",
"city": "COUPEVILLE",
"state": "WA",
"postal_code": "98239",
"telephone_number": "360-678-5555",
"fax_number": "360-678-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATTRAY",
"first_name": "MICHAEL",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY00002279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coupeville, WA
- Janice Lynn Pickard, LMHC
- John Bradley Plastino, M.D.
- Mario E Porras, M.D.
- Mary Irene Puhr, BSN,MN
- Rosa Linda Rangel, M.D.
- Katlaina Rayne, M.A,
- Regency Coupeville, LLC (Regency Coupeville Rehabilitation and Nursing Center)
- Regency Coupeville, LLC (Regency Coupeville)
- Sheri Dann Rhodes, R.N.
- Rising Phoenix Wellness Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.