Individual provider Active NPI

Dorian Alaine Hunter, PHD

  • Clinical Psychologist
  • Ruston, WA
National Provider Identifier
1679861074
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
NOT YET LICENSED Issued in WA
Practice address
5219 N Shirley St Ste 100
Ruston, WA 98407-6599
Phone
(206) 664-1024
NPI assigned
Jul 19, 2011
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NOT YET LICENSED WA Primary

Addresses

Primary practice location

5219 N Shirley St Ste 100
Ruston, WA 98407-6599

Mailing address

5219 N Shirley St Ste 100
Ruston, WA 98407-6599
Phone (206) 664-1024

Other practice location 1

1200 5th Ave Ste 800
Seattle, WA 98101-3136
Phone (206) 374-0109

Other names 1

  • Ms. Dorian Hunter Reel Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 11, 2023 through Aug 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
NOT YET LICENSEDWAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1679861074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 N SHIRLEY ST STE 100",
            "city": "RUSTON",
            "state": "WA",
            "postal_code": "984076599",
            "telephone_number": "206-664-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 N SHIRLEY ST STE 100",
            "city": "RUSTON",
            "state": "WA",
            "postal_code": "984076599",
            "telephone_number": "206-664-1024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 5th Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981013136",
            "country_code": "US",
            "telephone_number": "206-374-0109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "DORIAN",
        "middle_name": "ALAINE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "NOT YET LICENSED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORIAN",
            "last_name": "REEL",
            "middle_name": "HUNTER",
            "prefix": "MS.",
            "credential": "MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ruston, WA

Sources for this page

Verify at the official NPI Registry.