Active NPI
Sean Patrick Hatt, PH.D.
- Clinical Psychologist
- Port Orchard, WA
National Provider Identifier
1558679738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY60119600
- Practice address
- 3965 Bethel Rd SE
Port Orchard, WA 98366-1976 - Phone
- (206) 801-3214
- Fax
- (844) 673-6165
- NPI assigned
- Sep 21, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | PY60119600 | WA | Primary |
Addresses
Primary practice location
3965 Bethel Rd SE
Port Orchard, WA 98366-1976
Mailing address
3965 Bethel Rd SE Ste 1
#240
Port Orchard, WA 98366-1976
Phone (206) 801-3214
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2015 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY60119600 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1558679738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3965 BETHEL RD SE STE 1",
"address_2": "#240",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983661976",
"telephone_number": "206-801-3214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3965 BETHEL RD SE",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983661976",
"telephone_number": "206-801-3214",
"fax_number": "844-673-6165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATT",
"first_name": "SEAN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-21",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60119600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.