Individual provider Active NPI

Elizabeth R Lotempio, PSYD

  • Clinical Psychologist
  • Ruston, WA
National Provider Identifier
1689960767
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60306582 Issued in WA
Practice address
5219 N Shirley St Ste 100
Ruston, WA 98407-6599
Phone
(206) 218-3277
NPI assigned
Jun 27, 2011
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 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 PY60306582 WA Primary

Addresses

Primary practice location

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

Mailing address

1143 Martin Luther King Jr Way # 55
Seattle, WA 98122-5051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2016 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PY60306582WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
DBT Center of Tacoma PLLC Clinical CurrentSince May 7, 2023 Accepting new patients
Elizabeth Lotempio, PSYD, PLLC Clinical CurrentSince Mar 5, 2023 Accepting new patients

Locations

5219 N Shirley St
Ste 100
Ruston, WA 98407
Phone (206) 218-3277

Organizations & group practices 2

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": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1689960767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 MARTIN LUTHER KING JR WAY # 55",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225051"
        },
        {
            "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": "206-218-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTEMPIO",
        "first_name": "ELIZABETH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60306582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, WA

Sources for this page

Verify at the official NPI Registry.