MR. ALEXANDER IANTO WEST – Psychologist, NPI 1396206421
Psychologist
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Profile Insights
NPPES metrics only — not quality of care.
775 CLINICAL PSYCHOLOGIST in WA
Provider Addresses for MR. ALEXANDER IANTO WEST
219 STATE AVE N STE 100
KENT, WA 980304543
Phone: (253) 372-3602
Type: Location
403 E MEEKER ST STE 200
KENT, WA 980305904
Phone: (253) 852-2866
Fax: (253) 852-3102
Type: Location
955, Powell Avenue Southwest, Renton, King County, Washington, 98057, United States
RENTON, WA 980572908
Phone: (425) 277-1311
Fax: (888) 240-5967
Type: Mailing
16255 NE 87th St Ste 150
Redmond, WA 980527464
Phone: (425) 882-1697
Fax: (425) 885-4179
Type: Location
219 State Ave N Ste 100
Kent, WA 980304543
Phone: (253) 372-3602
Type: Location
8301 161ST AVE NE STE 103
REDMOND, WA 980523858
Phone: (425) 882-1697
Fax: (425) 869-6647
Type: Location
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: 2020-03-03
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 |
|---|---|---|---|---|
| I20200303001915 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WA | |
| Family Practice | DC | |
| Pediatric Medicine | TN | |
| - | WA | |
| Family Practice | ID | |
| Family Practice | WA | |
| Family Practice | WA | |
| General Practice | WA | |
| Nurse Practitioner | WA | |
| Family Practice | AZ |
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