Individual provider Active NPI

Rebecca Ruth Muirhead, PSYD

  • Clinical Psychologist
  • Sumner, WA
National Provider Identifier
1871653071
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
60701887 Issued in WA
Practice address
920 Alder Ave Ste 203a
Sumner, WA 98390-1458
Phone
(253) 308-8160
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PSY24595 CA
Student in an Organized Health Care Education/Training Program 390200000X 31881032701 OH
Clinical Psychologist 103TC0700X 60701887 WA Primary

Addresses

Primary practice location

920 Alder Ave Ste 203a
Sumner, WA 98390-1458

Mailing address

4457 185TH Ave E
Lake Tapps, WA 98391-9112
Phone (513) 403-5811

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
I20201117000760 WA Practitioner - Clinical Psychologist 8820335672 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60701887WAMDClinical Psychologist
PSY24595CAMDClinical Child & Adolescent Psychologist
31881032701OHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca Muirhead PSYD, PLLC CurrentSince Jul 21, 2024 Accepting new patients
Lindsey a. Miller, Arnp, LLC Past Accepting new patients

Locations

920 Alder Ave
Ste 203A
Sumner, WA 98390
Phone (253) 308-8160

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1871653071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4457 185TH AVE E",
            "city": "LAKE TAPPS",
            "state": "WA",
            "postal_code": "983919112",
            "telephone_number": "513-403-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 ALDER AVE STE 203A",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901458",
            "telephone_number": "253-308-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUIRHEAD",
        "first_name": "REBECCA",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY24595",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "31881032701",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "60701887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumner, WA

Sources for this page

Verify at the official NPI Registry.