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LYRIS C TUDHOPE-LOCKLEAR PSYCHOLOGIST
NPI 1164943577
Psychologist - Clinical in Port Townsend, WA

Active since July 06, 2017Opted out of Medicare · through Jan 1, 2027
211 TAYLOR ST STE 403C, PORT TOWNSEND, WA 98368(360) 643-1758 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2025, Jul 21, 2022, Jul 6, 2017 (3 updates tracked since 2017).

About Lyris C Tudhope-locklear Psychologist NPPES

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

LYRIS C TUDHOPE-LOCKLEAR PSYCHOLOGIST (NPI 1164943577) is an individual clinical provider in Port Townsend, Washington, licensed in Washington (PY61590440) and active in the NPI registry since July 2017. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164943577
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameLYRIS C TUDHOPE-LOCKLEARCredential: PSYCHOLOGIST
Location Address211 TAYLOR ST STE 403CPort Townsend, WA 98368-5700
Mailing Address391 Arabian LnPort Townsend, WA 98368-9614 · (360) 643-1758
Phone(360) 643-1758
Sole ProprietorNo
Enumeration DateJuly 6, 2017
Last NPPES UpdateMarch 19, 20253 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1164943577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WA · PY61590440
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
211 TAYLOR ST STE 403C, Port Townsend, WA 98368
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

ⓘ

Opted out of Medicare

Lyris C Tudhope-locklear Psychologist has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98368 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.80 typical visit price
range $57.27 – $172.80
Typical copayment $43.20 (range $14.31 – $43.20)
Most-billed visit code 99205
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lyris Tudhope-locklear's NPI number?

The NPI number for Lyris Tudhope-locklear is 1164943577. It was assigned to this individual provider in the NPPES registry on July 6, 2017.

Where is Lyris Tudhope-locklear located?

Lyris Tudhope-locklear practices at 211 Taylor St Ste 403C, Port Townsend, WA 98368. The listed phone number is (360) 643-1758.

What is Lyris Tudhope-locklear's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Lyris Tudhope-locklear enrolled in Medicare?

No. Lyris Tudhope-locklear has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Lyris Tudhope-locklear accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Lyris Tudhope-locklear as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lyris Tudhope-locklear was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.