Individual provider Active NPI

Naomi Sara Oderberg, PHD

  • Clinical Psychologist
  • Edmonds, WA
National Provider Identifier
1861558082
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1966 Issued in WA
Practice address
144 Railroad Ave Ste 205
Edmonds, WA 98020-4121
Phone
(206) 257-2911
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 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 1966 WA Primary

Addresses

Primary practice location

144 Railroad Ave Ste 205
Edmonds, WA 98020-4121

Mailing address

144 Railroad Ave Ste 205
Edmonds, WA 98020-4121
Phone (206) 257-2911

Other identifiers 2

IdentifierTypeStateIssuer
892-2525OtherWACRIME VICTIMS COMPENSATIO
656258OtherWADSHS

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

LicenseStateTypeSpecialty
1966WAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1861558082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 RAILROAD AVE STE 205",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980204121",
            "telephone_number": "206-257-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 RAILROAD AVE STE 205",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980204121",
            "telephone_number": "206-257-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODERBERG",
        "first_name": "NAOMI",
        "middle_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "1966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS COMPENSATIO",
            "identifier": "892-2525",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "656258",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.