Pelin Hattatoglu, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY60481249 Issued in WA

Practice address

1211 N 32ND St
Renton, WA 98056-2126

Phone

(425) 793-9255

NPI assigned

May 5, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2020 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Optimum Mental Health Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Renton, WA
  • NPI 1063073104
  NPD (past)

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1891087003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N 32ND ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980562126",
            "telephone_number": "425-793-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N 32ND ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980562126",
            "telephone_number": "425-793-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTATOGLU",
        "first_name": "PELIN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-05",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60551097",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60481249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaya Y Hasanoglu, M.D.
• Farhia Mohamed Hassan, RPH
• Hamdi Ahmed Hassan
• Cherise A Hatch, DO
• Kelli Chiyoko Hatico, PHARMD
• Tanya M Haug Baldwin, PTA
• Gloria J Haukaas, L.M.P.
• Have a Heart
• Sarah Hawthorne, MA, LMHC, CMHS
• Derek Hayes, PHARMACIST

• Clinical Psychologist in Renton, WA
• Providers in Renton, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.