DR. BRENDA KAY HAVELLANA (PH.D.) – Rehabilitation Psychologist, NPI 1568625895
Rehabilitation Psychologist
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
775 CLINICAL PSYCHOLOGIST in WA
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Provider Addresses for DR. BRENDA KAY HAVELLANA (PH.D.)
5105, 200th Street Southwest, Cedar Valley, Lynnwood, Snohomish County, Washington, 98036, United States
SUITE 100
LYNNWOOD, WA 980366397
Phone: (425) 387-6972
Type: Location
75th Drive Northeast, Marysville, Snohomish County, Washington, 98270, United States
MARYSVILLE, WA 982706804
Phone: (425) 387-6972
Type: Mailing
3224 75TH DR NE
MARYSVILLE, WA 982706804
Phone: (425) 387-6972
Type: Location
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: 2008-07-17
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 |
|---|---|---|---|---|
| I20080717000237 | 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 |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 119 | 119 | $0 |
| 96130 | Evaluation of psychological test, first hour | 119 | 119 | $0 |
| 96131 | Evaluation of psychological test, each additional hour | 119 | 119 | $0 |
| 96136 | Administration of psychological or neuropsychological test, first 30 minutes | 119 | 119 | $0 |
Insurance plans in this area (ZIP 98036)
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