Individual provider Active NPI

Ruth A Herman-Dunn, PH.D.

  • Psychologist
  • Seattle, WA
National Provider Identifier
1962509307
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY1852 Issued in WA
Practice address
4700 42ND Ave SW
Ste 540
Seattle, WA 98116-4561
Phone
(206) 937-1186
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY1852 WA Primary

Addresses

Primary practice location

4700 42ND Ave SW
Ste 540
Seattle, WA 98116-4561

Mailing address

4700 42ND Ave SW Ste 540
Seattle, WA 98116-4561
Phone (206) 290-0315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2026 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY1852WAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleidoscope Counseling PLLC Past Accepting new patients

Organizations & group practices 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1962509307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 42ND AVE SW STE 540",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164561",
            "telephone_number": "206-290-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 42ND AVE SW",
            "address_2": "STE 540",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164561",
            "telephone_number": "206-937-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN-DUNN",
        "first_name": "RUTH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY1852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.