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DR. STACY JEAN GRAVES PHD
NPI 1518643485
Psychologist - Clinical in Seattle, WA

Active since June 26, 2023Opted out of Medicare · through Sep 14, 2027
1200 5TH AVE SUITE 800, SEATTLE, WA 98101(206) 374-0109 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Stacy Jean Graves Phd NPPES

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

DR. STACY JEAN GRAVES PHD (NPI 1518643485) is an individual clinical provider in Seattle, Washington, licensed in Washington (PY61318251) and active in the NPI registry since June 2023. She has opted out of Medicare through September 14, 2027.

NPPES Registry Identity

NPI1518643485
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. STACY JEAN GRAVESCredential: PHD
Location Address1200 5TH AVE SUITE 800Seattle, WA 98101
Mailing Address1200 5th Ave Suite 800Seattle, WA 98101 · (206) 374-0109
Phone(206) 374-0109
Sole ProprietorNo
Enumeration DateJune 26, 2023
NPPES CertifiedJune 26, 2023
✔ NPI 1518643485 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 · PY61318251
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.
1200 5TH AVE SUITE 800, Seattle, WA 98101
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Stacy Jean Graves Phd 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 September 14, 2023 through September 14, 2027.

Opt-Out Effective DateSeptember 14, 2023
Opt-Out In Effect ThroughSeptember 14, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Stacy Graves's NPI number?

The NPI number for Stacy Graves is 1518643485. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Where is Stacy Graves located?

Stacy Graves practices at 1200 5th Ave Suite 800, Seattle, WA 98101. The listed phone number is (206) 374-0109.

What is Stacy Graves's specialty?

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

Is Stacy Graves enrolled in Medicare?

No. Stacy Graves has opted out of Medicare through September 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Stacy Graves was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.