Active NPI
Teresa Lynn Hastings, PHD
- Psychologist
- Lynnwood, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 487
- Practice address
- 3512 204TH St SW Apt H105
Lynnwood, WA 98036-6888 - Phone
- (206) 790-0684
- NPI assigned
- Mar 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 487 | SD | Primary |
Addresses
Primary practice location
3512 204TH St SW Apt H105
Lynnwood, WA 98036-6888
Mailing address
3512 204TH St SW Apt H105
Lynnwood, WA 98036-6888
Phone (206) 790-0684
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PY00002375 | Other | WA | CLINICAL PSYCHOLOGY LICENSE |
Other names 1
- Teresa L Crain
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1400 112TH Ave SE
Suite 100 103
Bellevue, WA 98004-6901
Phone (800) 567-5433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 487 | SD | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Life Inc. | Current | Accepting new patients | |
| Total Life FL PA | Current | Accepting new patients |
Locations
110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690
1400 112th Ave SE
Ste 100103
Bellevue, WA 98004
Phone (205) 246-5690
1400 112th Ave SE
Bellevue, WA 98004
Phone (206) 226-7826
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": "1268956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1871817841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3512 204TH ST SW APT H105",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980366888",
"telephone_number": "206-790-0684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3512 204TH ST SW APT H105",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980366888",
"telephone_number": "206-790-0684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASTINGS",
"first_name": "TERESA",
"middle_name": "LYNN",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-19",
"last_updated": "2024-05-06",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "SD",
"license": "487",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL PSYCHOLOGY LICENSE",
"identifier": "PY00002375",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TERESA",
"last_name": "CRAIN",
"middle_name": "L",
"credential": "PHD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.