Michael John Corpolongo, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00000842 Issued in WA

Practice address

4841 Auto Center Way
Ste 203
Bremerton, WA 98312-4388

Phone

(360) 377-8171

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1679614473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4841 AUTO CENTER WAY",
            "address_2": "STE 203",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983124388",
            "telephone_number": "360-377-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4841 AUTO CENTER WAY",
            "address_2": "STE 203",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983124388",
            "telephone_number": "360-377-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORPOLONGO",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00000842",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00000842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Lee Corley Sr., D.C.
• Madison Corn
• Paul Matthew Cornett, PH.D, RN
• Brayden Cornish
• Lorena Corona Reyes
• James Correll
• Kimberley Renee Cortina, LMP
• Krystle Lynne Costa
• Tracee Arlene Costa, LMP
• Jennifer Michelle Cote, MA, LMHC, SUDP

• Clinical Psychologist in Bremerton, WA
• Providers in Bremerton, 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 11, 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.