Individual provider Active NPI

Joshua Adam Breitstein, PSY.D.

  • Clinical Psychologist
  • Tacoma, WA
National Provider Identifier
1548441371
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
60724167 Issued in WA
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60724167WAMDClinical 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

Verify at the official NPI Registry.