Ilana Waite, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSYC.PY.70069155 Issued in WA

Practice address

11290 Sunrise Dr NE
Bainbridge Island, WA 98110-1353

Phone

(206) 780-7782

NPI assigned

Sep 14, 2018

Last updated

Aug 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• Lifespan Assessment Services, PLLC

  • Clinical Psychologist
  • Bainbridge Island, WA
  • NPI 1417793852
  NPD (past)
• Lifespan Psychological Services, PS

  • Clinical Psychologist
  • Bainbridge Island, WA
  • NPI 1366503633
  NPD (past)

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1790268712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11290 SUNRISE DR NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11290 SUNRISE DR NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101353",
            "telephone_number": "206-780-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE",
        "first_name": "ILANA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MHCA.MC.61556115",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PSYC.PY.70069155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Amber Vitale
• Vitality Bodywork, LLC
• Kendall Paige Voget
• Julie Beret Von Koschembahr, M.ED.
• W Bradford Hepworth DDS MD Ms PC
• Walgreen Co (Walgreens #15673)
• Stephen Anderson Walker
• Beverly Beckwith Walsh, LCSW-C; LICSW; PH.D.
• Frederick Charles Walters, MD
• Diana Wang, DC

• Clinical Psychologist in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.