Jennifer McDonald, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

60302960 Issued in WA

Practice address

2024 Caton Way SW Ste 201
Olympia, WA 98502-1119

Phone

(360) 302-4645

NPI assigned

Sep 18, 2012

Sex

Female

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": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1720338643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 TOLMIE AVE",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983279783",
            "telephone_number": "360-529-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 CATON WAY SW STE 201",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021119",
            "telephone_number": "360-302-4645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "677 Woodland Square Loop SE",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985031000",
            "country_code": "US",
            "telephone_number": "360-529-1925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JENNIFER",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "1734",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "60302960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Shanell McDaneld
• Alyssa McDaniel, ARNP
• McDonald Dentistry
• Michelle Catherine McDonald-Lopez
• Brady Clarke McDonald, DDS
• Michael Thomas McDonald, DDS
• Monica McDonald
• Heather McDowell
• James R McDowell, M.D.
• John McEachron, DC

• Clinical Psychologist in Olympia, WA
• Providers in Olympia, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.