Active NPI
Natalie J Dong, PH.D.
- Clinical Psychologist
- Puyallup, WA
National Provider Identifier
1699840462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY00003657
- Practice address
- 407 - 14TH Ave SE
Physical Medicine & Rehabilitation
Puyallup, WA 98371-9936 - Phone
- (253) 697-2706
- Fax
- (253) 697-5180
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 17892 | CA | |
| Clinical Psychologist | 103TC0700X | PY00003657 | WA | Primary |
Addresses
Primary practice location
407 - 14TH Ave SE
Physical Medicine & Rehabilitation
Puyallup, WA 98371-9936
Mailing address
407 - 14TH Ave SE
Physical Medicine & Rehabilitation
Puyallup, WA 98371-9936
Phone (253) 697-2706
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 17892 | CA | MD | Clinical Psychologist |
| PY00003657 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224720000000",
"number": "1699840462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 - 14TH AVE SE",
"address_2": "PHYSICAL MEDICINE & REHABILITATION",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983719936",
"telephone_number": "253-697-2706",
"fax_number": "253-697-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 - 14TH AVE SE",
"address_2": "PHYSICAL MEDICINE & REHABILITATION",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983719936",
"telephone_number": "253-697-2706",
"fax_number": "253-697-5180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONG",
"first_name": "NATALIE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2008-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 17892",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY00003657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.