Individual provider Active NPI

Denise Michelle Haselwood

  • Psychologist
  • Olympia, WA
National Provider Identifier
1548727324
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY60712014 Issued in WA
Practice address
2627 Martin Way E Ste 4-100
Olympia, WA 98506-4926
Phone
(360) 490-2586
NPI assigned
Feb 27, 2019
Last updated
May 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY60712014 WA Primary

Addresses

Primary practice location

2627 Martin Way E Ste 4-100
Olympia, WA 98506-4926

Mailing address

3435 Martin Way E Ste H1
Olympia, WA 98506-5071
Phone (360) 878-9526

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
I20190508001161 WA Practitioner - Clinical Psychologist 5092057216 Reassigns benefits to 2 organizations
Practice locations: Olympia, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Epic Possibilities and DevelopmentGroup PAC ID 5890102016, 2 clinicians

Practice addresses (Care Compare)

204 Custer Way SW
Suite 101
Tumwater, WA 98501-3330
Phone (360) 480-5388

3435 Martin Way E
Suite H 1
Olympia, WA 98506-5071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY60712014WAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Paid for Passion Current Accepting new patients
Simply Thrive Psychotherapy PLLC CurrentSince Mar 16, 2019 Accepting new patients
Epic Possibilities and Development CurrentSince Feb 1, 2021 Accepting new patients

Locations

418 Carpenter Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 878-9526

2627 Martin Way E
Ste 4100
Olympia, WA 98506
Phone (360) 490-2586

3435 Martin Way E
Ste H1
Olympia, WA 98506
Phone (360) 480-5388

Organizations & group practices 3

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": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1548727324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 MARTIN WAY E STE H1",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065071",
            "telephone_number": "360-878-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 MARTIN WAY E STE 4-100",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064926",
            "telephone_number": "360-490-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASELWOOD",
        "first_name": "DENISE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60712014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.