Individual provider Active NPI

Richard Theodore Wemhoff, PH.D.

  • Psychologist
  • Redmond, WA
National Provider Identifier
1659485738
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1048 Issued in WA
Practice address
8275 166TH Ave NE Ste 200
Redmond, WA 98052-6629
Phone
(425) 869-2644
Fax
(425) 867-0930
NPI assigned
Aug 18, 2006
Last updated
Dec 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1048 WA Primary

Addresses

Primary practice location

8275 166TH Ave NE Ste 200
Redmond, WA 98052-6629

Mailing address

8275 166TH Ave NE Ste 200
Redmond, WA 98052-6629
Phone (425) 869-2644

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
I20070125000108 WA Practitioner - Clinical Psychologist 1456352087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emmaus Counseling Service PSGroup PAC ID 5193726701, 21 clinicians

Practice addresses (Care Compare)

8275 166TH Ave NE
Suite 200
Redmond, WA 98052-6629
Phone 42586926440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1048WAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Emmaus Counseling Service PS Psychologist CurrentSince Feb 14, 1994 Accepting new patients

Locations

2122 112th Ave NE
Ste B200
Bellevue, WA 98004

8275 166th Ave NE
Ste 102
Redmond, WA 98052
Phone 42586926440

8275 166th Ave NE
Ste 200
Redmond, WA 98052
Phone 4258692644 ext. 17

8290 165th Ave NE
Redmond, WA 98052
Phone 425869264417

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, 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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1659485738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8275 166TH AVE NE STE 200",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980526629",
            "telephone_number": "425-869-2644",
            "fax_number": "425-867-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8275 166TH AVE NE STE 200",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980526629",
            "telephone_number": "425-869-2644",
            "fax_number": "425-867-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEMHOFF",
        "first_name": "RICHARD",
        "middle_name": "THEODORE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "1048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.