MICHELLE MARIE PEARSON (PSY.D.) – Clinical Psychologist, NPI 1093975856

MICHELLE MARIE PEARSON (PSY.D.) is a healthcare provider. based in Yakima, Washington. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. PY 60004992 (WA). The NPI Number for MICHELLE MARIE PEARSON (PSY.D.) is 1093975856

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE MARIE PEARSON (PSY.D.)
NPI
1093975856
Phone
(509) 249-1268
Address
918 E MEAD AVE
Enumeration Date
13 June 2008
Last Update Date
13 June 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7079946486
Graduation Year
2007 (19 years ago)
PAC ID
2961563408
Group Practice PAC ID
3072421197
Professional Enrollment ID
I20240416002214
Address ID
CA954229336CL15630AVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

775 CLINICAL PSYCHOLOGIST in WA

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Provider Addresses for MICHELLE MARIE PEARSON (PSY.D.)

  • 918, East Mead Avenue, Yakima, Yakima County, Washington, 98903, United States

    YAKIMA, WA 989033720

    Phone: (509) 249-1268

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-04-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240416002214IClinical PsychologistCATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98903)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072421197View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Clinical Social WorkerCA
Nurse PractitionerCA
Nurse PractitionerCA
Diagnostic RadiologyCA
Clinical Social WorkerCA
Diagnostic RadiologyCA
N E U R O L O G YCT
General SurgeryCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Does MICHELLE MARIE PEARSON (PSY.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MICHELLE MARIE PEARSON (PSY.D.) uses 1093975856.
Is MICHELLE MARIE PEARSON (PSY.D.) listed as active for patients and plans?
The listing shows MICHELLE MARIE PEARSON (PSY.D.) as active in the NPI system.
What healthcare role does MICHELLE MARIE PEARSON (PSY.D.) hold?
Scheduling teams often label MICHELLE MARIE PEARSON (PSY.D.) under Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for MICHELLE MARIE PEARSON (PSY.D.)?
MICHELLE MARIE PEARSON (PSY.D.)'s geographic hint is Yakima, Washington in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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