Spectrum Psychological Associates – Psychologist, NPI 1538409271
Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Spectrum Psychological Associates
4711 44th Ave SW Ste C
Seattle, WA 981164401
Phone: (425) 478-6100
Type: Location
19221 36TH AVE W
STE 208
LYNNWOOD, WA 980365796
Phone: (206) 909-7633
Fax: (888) 240-5967
Type: Mailing
19221 36TH AVE W STE 208
LYNNWOOD, WA 980365795
Phone: (206) 909-7633
Fax: (888) 240-5967
Type: Location
3417 Evanston Ave N Ste 518
Seattle, WA 981038972
Phone: (425) 478-6100
Type: Location
1728 W MARINE VIEW DR STE 109
EVERETT, WA 982012094
Phone: (425) 478-6100
Fax: (425) 230-0312
Type: Mailing
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: 2016-06-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (802 days ago).
Enrollment records
1
Earliest due date
2024-03-31
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 |
|---|---|---|---|---|
| O20160606000261 | O | Clinic/Group Practice | WA | 2024-03-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 98116)
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