Organization Active NPI

Dana M Myers PSYD PLLC

  • Clinical Psychologist
  • Spanaway, WA
National Provider Identifier
1467720789
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2528 Issued in WA
Legal business name
DANA M MYERS PSYD PLLC
Practice address
16218 Pacific Ave S
Ste B2
Spanaway, WA 98387-8612
Phone
(253) 208-0275
NPI assigned
Dec 1, 2011
Last updated
Dec 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Dr. Dana M Myers, PSYDNPI 1114994076
Title
Owner
Phone
(253) 208-0275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2528 WA Primary

Addresses

Primary practice location

16218 Pacific Ave S
Ste B2
Spanaway, WA 98387-8612

Mailing address

16218 Pacific Ave S
Ste B2
Spanaway, WA 98387-8612
Phone (253) 208-0275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120111000925 WA Part B Supplier - Clinic/Group Practice 7618144874 Receives reassigned benefits from 1 practitioner
Practice locations: Tacoma, WA

National Provider Directory

National Provider Directory

Locations

10116 36th Avenue Ct SW
Ste 112
Lakewood, WA 98499
Phone (253) 208-0275

16218 Pacific Ave S
Ste B2
Spanaway, WA 98387
Phone (253) 208-0275

1310 S Union Ave
Ste A101
Tacoma, WA 98405
Phone (253) 208-0275

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1467720789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16218 PACIFIC AVE S",
            "address_2": "STE B2",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878612",
            "telephone_number": "253-208-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16218 PACIFIC AVE S",
            "address_2": "STE B2",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878612",
            "telephone_number": "253-208-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA M MYERS PSYD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-208-0275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "2528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanaway, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.