DR. JOHN C BUSH (PSYCHOLOGY) – Clinical Psychologist, NPI 1932241767

DR. JOHN C BUSH (PSYCHOLOGY) is a healthcare provider. based in Kent, Washington. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYCHOLOGY. They hold a License No. PY00000527 (WA). The NPI Number for DR. JOHN C BUSH (PSYCHOLOGY) is 1932241767

Main info

Male
56 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN C BUSH (PSYCHOLOGY)
NPI
1932241767
Phone
(253) 852-5503
Address
1819 CENTRAL AVE SO
Enumeration Date
12 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2536494829
Graduation Year
1970 (56 years ago)
PAC ID
1355563909
Professional Enrollment ID
I20190315001002
Address ID
WA983355848GI3814XNWXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

775 CLINICAL PSYCHOLOGIST in WA

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Provider Addresses for DR. JOHN C BUSH (PSYCHOLOGY)

  • Central Avenue, Greenhill, Canterbury, Kent, England, CT6 8HH, United Kingdom

    SOUTH CENTRAL BLDG A STE 111

    KENT, WA 98032

    Phone: (253) 852-5503

    Fax: (253) 852-3612

    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: 2019-03-15

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
I20190315001002IClinical 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

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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 98032)

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Reviews

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Frequently asked questions

Is there an official ID for DR. JOHN C BUSH (PSYCHOLOGY) in U.S. healthcare records?
The official identifier for DR. JOHN C BUSH (PSYCHOLOGY) is NPI 1932241767.
Would DR. JOHN C BUSH (PSYCHOLOGY) appear as active to a payer?
You can treat DR. JOHN C BUSH (PSYCHOLOGY) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. JOHN C BUSH (PSYCHOLOGY)?
At a glance, DR. JOHN C BUSH (PSYCHOLOGY) is tied to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is DR. JOHN C BUSH (PSYCHOLOGY) located near Kent?
DR. JOHN C BUSH (PSYCHOLOGY) currently maps to Kent, Washington in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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