Individual provider Active NPI

Elizabeth Schmitz-Binnall, PSYD

  • Clinical Psychologist
  • Yelm, WA
National Provider Identifier
1508260779
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY61168510 Issued in WA
Practice address
8417 Bernice CT SE
Yelm, WA 98597-9776
Phone
(208) 664-7322
NPI assigned
Oct 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY61168510 WA
Clinical Psychologist 103TC0700X PY61168510 WA Primary

Addresses

Primary practice location

8417 Bernice CT SE
Yelm, WA 98597-9776

Mailing address

4405 7TH Ave SE Ste 200
Lacey, WA 98503-1055
Phone (253) 691-9455

Other practice location 1

4405 7th Ave SE Ste 200
Lacey, WA 98503-1055
Phone (253) 691-9455

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

State licenses

LicenseStateTypeSpecialty
PY61168510WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
SB Psychological Services, PLLC CurrentSince Mar 19, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715385600000",
    "number": "1508260779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 7TH AVE SE STE 200",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031055",
            "telephone_number": "253-691-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8417 BERNICE CT SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985979776",
            "telephone_number": "208-664-7322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4405 7th Ave SE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985031055",
            "country_code": "US",
            "telephone_number": "253-691-9455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMITZ-BINNALL",
        "first_name": "ELIZABETH",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2024-05-11",
        "certification_date": "2023-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY61168510",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY61168510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yelm, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; 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.