DR. JOHN BRADFORD POWELL (PH.D.) – Clinical Psychologist, NPI 1194793737

DR. JOHN BRADFORD POWELL (PH.D.) is a healthcare provider. based in Olympia, Washington. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 2082 (WA). The NPI Number for DR. JOHN BRADFORD POWELL (PH.D.) is 1194793737

Main info

Male
48 Years Of Experience
Name
DR. JOHN BRADFORD POWELL (PH.D.)
NPI
1194793737
Phone
(360) 352-4602
Address
2118 CATON WAY SW
Enumeration Date
9 March 2006
Last Update Date
22 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3603524602
Graduation Year
1978 (48 years ago)
PAC ID
0446350771
Professional Enrollment ID
I20070716000173
Address ID
WA985021105OL2118XSWXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

775 CLINICAL PSYCHOLOGIST in WA

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Provider Addresses for DR. JOHN BRADFORD POWELL (PH.D.)

  • 2118, Caton Way Southwest, Olympia, Thurston County, Washington, 98502, United States

    OLYMPIA, WA 985021105

    Phone: (360) 352-4602

    Fax: (360) 352-3289

    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: 2007-07-16

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
I20070716000173IClinical PsychologistWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour23919$0
View full utilization report →

Insurance plans in this area (ZIP 98502)

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Reviews

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Frequently asked questions

Does DR. JOHN BRADFORD POWELL (PH.D.) have a public NPI I can cite?
Public records show DR. JOHN BRADFORD POWELL (PH.D.) under NPI 1194793737.
Is DR. JOHN BRADFORD POWELL (PH.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. JOHN BRADFORD POWELL (PH.D.) as active.
What does the directory say DR. JOHN BRADFORD POWELL (PH.D.) does?
Insurance directories may phrase it differently, but here DR. JOHN BRADFORD POWELL (PH.D.) maps to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. JOHN BRADFORD POWELL (PH.D.)?
DR. JOHN BRADFORD POWELL (PH.D.) shows a connection to Olympia, Washington in registry-derived data.
Why is information missing for DR. JOHN BRADFORD POWELL (PH.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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