Douglas W Lane, PH. D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00003471 Issued in WA

Practice address

2607 Bridgeport Way W Ste 2E
University Place, WA 98466-4725

Phone

(253) 364-7814

NPI assigned

Jan 5, 2007

Last updated

Sep 9, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Olympic Psychology Services, PLLCGroup PAC ID 8527393156, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Olympic Psychology Services, PLLC

  • Community/Behavioral Health Agency
  • Tacoma, WA
  • NPI 1497114342
  Medicare reassignment Care Compare group NPD
• Shanachie Psychological Services

  • Community/Behavioral Health Agency
  • Tacoma, WA
  • NPI 1205699055
  Medicare reassignment NPD Authorized official
• Select Services by Ops, PLLC

  • Clinical Psychologist
  • Tacoma, WA
  • NPI 1447981832
  NPD
• Dean Funabiki and Associates , P.S.

  • Psychologist
  • Pullman, WA
  • NPI 1265467914
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1780732073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7182",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984170182",
            "telephone_number": "253-364-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 BRIDGEPORT WAY W STE 2E",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664725",
            "telephone_number": "253-364-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "DOUGLAS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PH. D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00003471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Lynn Kummet, MSW
• Tabby Divine La Brea
• Adriana Laigo
• Tabitha Lamphere, CPC
• Jordan Landholm, DC, DCCJP
• Bruce Randall Lanum, RN, MN, CS, FNP
• Lapis Family Medicine LLP
• Dacia Helen Larkin, DDS
• Victoria Kay Laroche
• Blake Latour

• Clinical Psychologist in University Place, WA
• Providers in University Place, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.