Individual provider Active NPI

Melvin Watt, PHD

  • Clinical Psychologist
  • Tacoma, WA
National Provider Identifier
1821055096
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY00002583 Issued in WA
Practice address
3919 S 19TH St
Tacoma, WA 98405-1414
Phone
(253) 752-5677
Fax
(253) 756-8936
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY00002583 WA Primary

Addresses

Primary practice location

3919 S 19TH St
Tacoma, WA 98405-1414

Mailing address

9340 NE 76TH St
Vancouver, WA 98662-3721
Phone (360) 253-4912

Other identifiers 1

IdentifierTypeStateIssuer
8384976MedicaidWA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040405000445 WA Practitioner - Clinical Psychologist 1355334681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seatac Senior Psychology LLCGroup PAC ID 7719032226, 14 clinicians

Practice addresses (Care Compare)

2909 14TH Ave NW
Cottesmore of Life Care
Gig Harbor, WA 98335-1633
Phone (253) 851-5433

Merit-based Incentive Payment System (MIPS)

Final score
55.55 of 100Reported as group
Quality
61.67
Improvement activities
0
Cost
69.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY00002583WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Seatac Senior Psychology LLC Clinical CurrentSince Sep 18, 2010 Accepting new patients
Seatac Senior Psychology LLC Clinical CurrentSince Sep 18, 2010 Accepting new patients

Locations

707 228th St SW
Bothell, WA 98021
Phone (425) 442-0530

2701 Clare Ave
Bremerton, WA 98310
Phone (360) 377-3951

32300 1st Ave S
Federal Way, WA 98003
Phone (253) 874-3580

1045 S 308th St
Federal Way, WA 98003
Phone (253) 946-2273

2909 14th Ave NW
Gig Harbor, WA 98335
Phone (253) 851-5433

3919 S 19th St
Tacoma, WA 98405
Phone (253) 752-5677

9340 NE 76th St
Vancouver, WA 98662
Phone (360) 253-4912

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821055096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9340 NE 76TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986623721",
            "telephone_number": "360-253-4912",
            "fax_number": "360-253-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 S 19TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051414",
            "telephone_number": "253-752-5677",
            "fax_number": "253-756-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATT",
        "first_name": "MELVIN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00002583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8384976",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.