Individual provider Active NPI

Michelle Maciel, PSYD

  • Clinical Psychologist
  • Olympia, WA
National Provider Identifier
1821292111
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60524587 Issued in WA
Practice address
PO Box 257 PMB 10925
Olympia, WA 98507-0257
Phone
(310) 993-2898
NPI assigned
Jun 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY60524587 WA Primary
Clinical Psychologist 103TC0700X PSY29406 CA

Addresses

Primary practice location

PO Box 257 PMB 10925
Olympia, WA 98507-0257

Mailing address

PO Box 257 PMB 10925
Olympia, WA 98507-0257
Phone (360) 620-8828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190116003007 CA Practitioner - Clinical Psychologist 1557607298 Reassigns benefits to 1 organization
I20250102000275 WA Practitioner - Clinical Psychologist 1557607298 Practice locations: Silverdale, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

19500 10TH Ave NE
Suite 110 C
Poulsbo, WA 98370-6553
Phone (360) 620-8828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY29406CAMDClinical Psychologist
PY60524587WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Clinical CurrentSince Dec 9, 2025 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Sep 22, 2025 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Clinical CurrentSince Sep 22, 2025 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

12025 115th Ave NE
Ste 200
Kirkland, WA 98034
Phone (425) 821-1810

450 S Kitsap Blvd
Ste 260
Port Orchard, WA 98366
Phone (360) 698-4860

19500 10th Ave NE
Ste 270
Poulsbo, WA 98370
Phone (360) 625-9596

1191 NW Tahoe Ln
Silverdale, WA 98383
Phone (360) 698-4860

Interoperability endpoints

  • Direct secure messaging: michelle.maciel.1@28621.direct.athenahealth.com

Organizations & group practices 3

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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1821292111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 257 PMB 10925",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985070257",
            "telephone_number": "360-620-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 257 PMB 10925",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985070257",
            "telephone_number": "310-993-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIEL",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60524587",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY29406",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.