Active NPI
Carol-Lynne Janice Becker, PH.D.
- Clinical Psychologist
- Tacoma, WA
National Provider Identifier
1750708996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY60349604
- Practice address
- 9600 Veterans Dr
Building 61, Room 348
Tacoma, WA 98493-0001 - Phone
- (253) 583-1648
- NPI assigned
- Mar 26, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY60349604 | WA | Primary |
Addresses
Primary practice location
9600 Veterans Dr
Building 61, Room 348
Tacoma, WA 98493-0001
Mailing address
3818 Gay Rd E
Tacoma, WA 98443-2103
Phone (805) 441-9046
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
| License | State | Type | Specialty |
|---|---|---|---|
| PY60349604 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395792000000",
"number": "1750708996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3818 GAY RD E",
"city": "TACOMA",
"state": "WA",
"postal_code": "984432103",
"telephone_number": "805-441-9046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 VETERANS DR",
"address_2": "BUILDING 61, ROOM 348",
"city": "TACOMA",
"state": "WA",
"postal_code": "984930001",
"telephone_number": "253-583-1648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "CAROL-LYNNE",
"middle_name": "JANICE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-26",
"last_updated": "2014-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60349604",
"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 Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.