PHILLIP S TATE (PH.D.) – Clinical Neuropsychologist, NPI 1023385366
Clinical Neuropsychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
775 CLINICAL PSYCHOLOGIST in WA
Provider Addresses for PHILLIP S TATE (PH.D.)
12303 MERIDIAN E STE 202
PUYALLUP, WA 983733418
Phone: (253) 268-0854
Fax: (253) 268-0854
Type: Mailing
2013 S 19TH ST
TACOMA, WA 984052920
Phone: (253) 383-3355
Fax: (253) 383-3627
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-03-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120309000513 | I | Clinical Psychologist | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 154 | 17 | $0 |
| 96137 | Administration of psychological or neuropsychological test, each additional 30 minutes | 153 | 15 | $0 |
| 96133 | Evaluation of neuropsychological test, each additional hour | 79 | 15 | $0 |
| 90834 | Psychotherapy, 45 minutes | 51 | 18 | $0 |
| 96136 | Administration of psychological or neuropsychological test, first 30 minutes | 19 | 15 | $0 |
Insurance plans in this area (ZIP 98373)
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