Individual provider Active NPI

Naomi L Huddlestone, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Tacoma, WA
National Provider Identifier
1699811778
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PY00001376 Issued in WA
Practice address
5909 Orchard St W
Tacoma, WA 98467-3824
Phone
(253) 475-6021
Fax
(253) 474-1871
NPI assigned
Jan 29, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY00001376 WA
Clinical Child & Adolescent Psychologist 103TC2200X PY00001376 WA Primary

Addresses

Primary practice location

5909 Orchard St W
Tacoma, WA 98467-3824

Mailing address

5909 Orchard St W
Tacoma, WA 98467-3824
Phone (253) 475-6021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY00001376WAMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC Clinical Child & Adolescent PastSince Aug 26, 2022 Accepting new patients
Rainier Associates Partnership Psychologist PastSince Oct 8, 2015 Accepting new patients

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1699811778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 ORCHARD ST W",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984673824",
            "telephone_number": "253-475-6021",
            "fax_number": "253-474-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 ORCHARD ST W",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984673824",
            "telephone_number": "253-475-6021",
            "fax_number": "253-474-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDDLESTONE",
        "first_name": "NAOMI",
        "middle_name": "L",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00001376",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "WA",
            "license": "PY00001376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • 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.