Theresa Lock, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00003514 Issued in WA

Practice address

15 S Grady Way Ste 347
Renton, WA 98057-3242

Phone

(206) 328-8889

Fax

(206) 328-8884

NPI assigned

Oct 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Lotus Behavioral Health LLC

  • Clinical Psychologist
  • Tukwila, WA
  • NPI 1891095410
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1659550671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84625",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981245925",
            "telephone_number": "206-328-8889",
            "fax_number": "206-328-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S GRADY WAY STE 347",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573242",
            "telephone_number": "206-328-8889",
            "fax_number": "206-328-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCK",
        "first_name": "THERESA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00003514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2012099",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wenguang Liu
• Llewellyn Phillips II M.D., Inc., P.S.
• Emmie Yun-Mei Lo, RPH
• Janice Sau Ying Lo, OT
• Marlin Lobaton
• Henry Loh
• Lois M Gelman MD Inc PS
• Lomas Eye Care Center P.L.L.C.
• Lomas Eye Care Center P.L.L.C.
• Hailee Jane Lombardo, SLP

• Clinical Psychologist in Renton, WA
• Providers in Renton, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.