Individual provider Active NPI

Robert Frederick Lone Jr., PH.D.

  • Psychologist
  • Kent, WA
National Provider Identifier
1508593716
Registry record updated Aug 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
60871703 Issued in WA
Practice address
26261 41St PL S
Kent, WA 98032-7151
Phone
(253) 520-6536
NPI assigned
Aug 7, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 60871703 WA Primary

Addresses

Primary practice location

26261 41St PL S
Kent, WA 98032-7151

Mailing address

PO Box 361
Kent, WA 98035-0361
Phone (253) 232-8678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231212003922 WA Practitioner - Clinical Psychologist 1052760386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Life IncGroup PAC ID 8123433034, 113 clinicians

Practice addresses (Care Compare)

1400 112TH Ave SE
Suite 100 103
Bellevue, WA 98004-6901
Phone (800) 567-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
60871703WAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life FL PA CurrentSince Sep 1, 2025 Accepting new patients
Total Life Inc. CurrentSince Nov 1, 2023 Accepting new patients

Locations

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

1400 112th Ave SE
Bellevue, WA 98004
Phone (206) 226-7826

1400 112th Ave SE
Ste 100103
Bellevue, WA 98004
Phone (205) 246-5690

Organizations & group practices 2

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": "1659830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659830400000",
    "number": "1508593716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980350361",
            "telephone_number": "253-232-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26261 41ST PL S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980327151",
            "telephone_number": "253-520-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONE",
        "first_name": "ROBERT",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-07",
        "last_updated": "2022-08-07",
        "certification_date": "2022-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "60871703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.