Active NPI
Jacqueline Christine Means, PSY.D.
- Forensic Psychologist
- Lakewood, WA
National Provider Identifier
1609205251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- TE60345599
- Practice address
- 9601 Steilacoom Blvd SW
Lakewood, WA 98498-7212 - Phone
- (360) 402-1549
- NPI assigned
- Nov 4, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | TE60345599 | WA | Primary |
Addresses
Primary practice location
9601 Steilacoom Blvd SW
Lakewood, WA 98498-7212
Mailing address
9601 Steilacoom Blvd SW
Lakewood, WA 98498-7212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TE60345599 | WA | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383523200000",
"number": "1609205251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9601 STEILACOOM BLVD SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984987212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 STEILACOOM BLVD SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984987212",
"telephone_number": "360-402-1549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEANS",
"first_name": "JACQUELINE",
"middle_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-04",
"last_updated": "2013-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "WA",
"license": "TE60345599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.