Active NPI
Joshua Adam Breitstein, PSY.D.
- Clinical Psychologist
- Tacoma, WA
National Provider Identifier
1548441371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 60724167
- Practice address
- Department of Veterans Affairs
American Lake Division, 9600 Veterans Drive
Tacoma, WA 98493-5000 - Phone
- (253) 583-2571
- NPI assigned
- Nov 20, 2007
- Last updated
- Sep 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 60724167 | WA | Primary |
Addresses
Primary practice location
Department of Veterans Affairs
American Lake Division, 9600 Veterans Drive
Tacoma, WA 98493-5000
Mailing address
9600 Veterans Drive SW
VA Medical Center-American Lake
Tacoma, WA 98498
Phone (253) 583-2571
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60724167 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1548441371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 VETERANS DRIVE SW",
"address_2": "VA MEDICAL CENTER-AMERICAN LAKE",
"city": "TACOMA",
"state": "WA",
"postal_code": "98498",
"telephone_number": "253-583-2571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPARTMENT OF VETERANS AFFAIRS",
"address_2": "AMERICAN LAKE DIVISION, 9600 VETERANS DRIVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984935000",
"telephone_number": "253-583-2571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREITSTEIN",
"first_name": "JOSHUA",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-20",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "60724167",
"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 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.