MARISSA RUDOLPH PH.D.
NPI 1255782272
Psychologist - Clinical in Tacoma, WA

Active since June 30, 2016
9600 VETERANS DR SW, TACOMA, WA 98493(800) 329-8387 Get Directions Write a Review

NPPES record last updated: April 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2022, Feb 6, 2019, Nov 29, 2017 and 2 more (5 updates tracked since 2016).

About Marissa Rudolph Ph.d. NPPES

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

MARISSA RUDOLPH PH.D. (NPI 1255782272) is an individual clinical provider in Tacoma, Washington, licensed in Washington (PY60758338) and active in the NPI registry since June 2016. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255782272
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMARISSA RUDOLPHCredential: PH.D.
Location Address9600 VETERANS DR SWTacoma, WA 98493-0003
Mailing Address9600 Veterans Dr SwTacoma, WA 98493-0003 · (800) 329-8387
Sole ProprietorNo
Enumeration DateJune 30, 2016
Last NPPES UpdateApril 9, 20225 updates tracked since enumeration
NPPES CertifiedApril 9, 2022
NPI 1255782272 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 · PY60758338
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.
9600 VETERANS DR SW, Tacoma, WA 98493

Secondary Practice Locations 2

Location 11901 Veterans Memorial DrTemple, TX 76504-7451 · Phone (254) 778-4811
Location 21 Veterans DrMinneapolis, MN 55417-2309 · Phone (612) 725-2000

Other Providers at the Same Location NPPES 20

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

Psychologist (Counseling)
9600 VETERANS DR SW
TACOMA, WA 98493
Psychologist (Clinical)
9600 VETERANS DR SW, REHABILITATION CARE SERVICE (A-117-RCS)
TACOMA, WA 98493
Nurse Practitioner (Psychiatric/Mental Health)
9600 VETERANS DR SW
TACOMA, WA 98493
Specialist/Technologist (Rehabilitation, Blind)
9600 VETERANS DR SW
TACOMA, WA 98493
Social Worker
9600 VETERANS DR SW
TACOMA, WA 98493
Social Worker
9600 VETERANS DR SW
TACOMA, WA 98493
Psychologist
9600 VETERANS DR SW
TACOMA, WA 98493
Social Worker
9600 VETERANS DR SW
TACOMA, WA 98493

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 Marissa Rudolph's NPI number?

The NPI number for Marissa Rudolph is 1255782272. It was assigned to this individual provider in the NPPES registry on June 30, 2016.

Where is Marissa Rudolph located?

Marissa Rudolph practices at 9600 Veterans Dr SW, Tacoma, WA 98493. The listed phone number is (800) 329-8387.

What is Marissa Rudolph's specialty?

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

When was this NPI record last updated?

The NPPES record for Marissa Rudolph was last updated on April 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.