Individual provider Active NPI

Jason Stolee, PH.D.

  • Clinical Psychologist
  • Tacoma, WA
National Provider Identifier
1477754729
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY3945 Issued in WA
Practice address
VA Puget Sound Health Caresystem-American Lake Division
9600 Veterans Drive
Tacoma, WA 98493
Phone
(253) 968-4851
Fax
(253) 968-3278
NPI assigned
May 31, 2007
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 00003945 WA
Clinical Psychologist 103TC0700X 3945 WA
Clinical Psychologist 103TC0700X PY3945 WA Primary

Addresses

Primary practice location

VA Puget Sound Health Caresystem-American Lake Division
9600 Veterans Drive
Tacoma, WA 98493

Mailing address

VA Puget Sound Health Caresystem-American Lake Division
9600 Veterans Drive
Tacoma, WA 98493
Phone (253) 968-4851

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 Philosophy

State licenses

LicenseStateTypeSpecialty
00003945WAMDClinical Psychologist
PY3945WAMDClinical Psychologist
3945WAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1477754729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VA PUGET SOUND HEALTH CARESYSTEM-AMERICAN LAKE DIVISION",
            "address_2": "9600 VETERANS DRIVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98493",
            "telephone_number": "253-968-4851",
            "fax_number": "253-968-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA PUGET SOUND HEALTH CARESYSTEM-AMERICAN LAKE DIVISION",
            "address_2": "9600 VETERANS DRIVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98493",
            "telephone_number": "253-968-4851",
            "fax_number": "253-968-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLEE",
        "first_name": "JASON",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "00003945",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "3945",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY3945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.