Active NPI
Thomas R Duhamel, PHD
- Clinical Psychologist
- Seattle, WA
National Provider Identifier
1649345083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 437
- Practice address
- 2611 NE 125TH St
Suite 225
Seattle, WA 98125-4373 - Phone
- (206) 361-6884
- Fax
- (206) 361-1598
- NPI assigned
- Nov 21, 2006
- 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 | 437 | WA | Primary |
Addresses
Primary practice location
2611 NE 125TH St
Suite 225
Seattle, WA 98125-4373
Mailing address
2611 NE 125TH St
Suite 225
Seattle, WA 98125-4373
Phone (206) 361-6884
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007558008 | Other | WA | AETNA(PIN) |
| 91139348501 | Other | WA | UNIFORM MED (PROV#) |
| DU8105 | Other | WA | REGENCE (RIDER#) |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 437 | WA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A B C D Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649345083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 NE 125TH ST",
"address_2": "SUITE 225",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981254373",
"telephone_number": "206-361-6884",
"fax_number": "206-361-1598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 NE 125TH ST",
"address_2": "SUITE 225",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981254373",
"telephone_number": "206-361-6884",
"fax_number": "206-361-1598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUHAMEL",
"first_name": "THOMAS",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "437",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA(PIN)",
"identifier": "0007558008",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIFORM MED (PROV#)",
"identifier": "91139348501",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE (RIDER#)",
"identifier": "DU8105",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.