DAVID BRADLEY DEWINE PH.D.
NPI 1144459306
Psychologist - Clinical Child & Adolescent in Tacoma, WA

Q: What is David Dewine's NPI number?

The NPI number for David Dewine is 1144459306. It was assigned to this individual provider in the NPPES registry on July 9, 2009.

Q: What is David Dewine's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for David Dewine was last updated on November 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 09, 2009PECOS Enrolled

1220 DIVISION AVE, TACOMA, WA 98403(253) 403-1685 Get Directions Write a Review

NPPES record last updated: November 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About David Bradley Dewine Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID BRADLEY DEWINE PH.D. (NPI 1144459306) is an individual clinical child & adolescent provider in Tacoma, Washington, licensed in Washington (PY 60073200) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144459306

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameDAVID BRADLEY DEWINECredential: PH.D.

Location Address1220 DIVISION AVETacoma, WA 98403-1321

Mailing Address1220 Division AveTacoma, WA 98403-1321 · (253) 403-1685

Phone(253) 403-1685

Sole ProprietorNo

Enumeration DateJuly 9, 2009

Last NPPES UpdateNovember 10, 2014

✔ NPI 1144459306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in WA · PY 60073200

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY 60073200 (WA)

Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License PY 60073200 (WA)

Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License PY 60073200 (WA)

1220 DIVISION AVE, Tacoma, WA 98403

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Bradley Dewine Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH MELISSA DORE ARNP

Nurse Practitioner (Pediatrics)