Individual provider Active NPI

Edwin Lawrence Hill, PHD LMT

  • Clinical Neuropsychologist
  • Tacoma, WA
National Provider Identifier
1518971332
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY00000984 Issued in WA
Practice address
2013 So 19TH
Tacoma, WA 98405-2920
Phone
(253) 383-3355
Fax
(253) 383-3627
NPI assigned
Jul 28, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY00000984 WA Primary
Clinical Psychologist 103TC0700X PY00000984 WA

Addresses

Primary practice location

2013 So 19TH
Tacoma, WA 98405-2920

Mailing address

2013 South 19TH
Tacoma, WA 98405-2920
Phone (253) 383-3355

Other identifiers 2

IdentifierTypeStateIssuer
0089341OtherWADEPT OF L & I
HI9555OtherWAREGENCE BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY00000984WAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Behavioral Medicine and Neuropsychology Associates, PLLC Clinical Neuropsychologist CurrentSince Aug 1, 1997 Accepting new patients
Advanced Behavioral Medicine PastSince Mar 29, 2015 Accepting new patients

Locations

2013 S 19th St
Tacoma, WA 98405
Phone (253) 383-3355

2013 S 19th St
Ste 2
Tacoma, WA 98405
Phone (253) 383-3355

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1518971332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 SOUTH 19TH",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052920",
            "telephone_number": "253-383-3355",
            "fax_number": "253-383-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 SO 19TH",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052920",
            "telephone_number": "253-383-3355",
            "fax_number": "253-383-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "EDWIN",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "PHD LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WA",
            "license": "PY00000984",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00000984",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L & I",
            "identifier": "0089341",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BS",
            "identifier": "HI9555",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.