ALTA DU PONT PHD
NPI 1669161097
Psychologist - Clinical in Seattle, WA

Q: What is Alta Du Pont's NPI number?

The NPI number for Alta Du Pont is 1669161097. It was assigned to this individual provider in the NPPES registry on May 2, 2023.

Q: What is Alta Du Pont's specialty?

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

Q: Is Alta Du Pont enrolled in Medicare?

No. Alta Du Pont has opted out of Medicare through May 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Alta Du Pont was last updated on May 2, 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.

Active since May 02, 2023Opted out of Medicare · through May 11, 2027

1200 5TH AVE STE 800, SEATTLE, WA 98101(206) 374-0109(206) 374-0108 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Alta Du Pont Phd NPPES

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

ALTA DU PONT PHD (NPI 1669161097) is an individual clinical provider in Seattle, Washington, licensed in Washington (61367490) and active in the NPI registry since May 2023. She has opted out of Medicare through May 11, 2027.

NPPES Registry Identity

NPI1669161097

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameALTA DU PONTCredential: PHD

Location Address1200 5TH AVE STE 800Seattle, WA 98101-3136

Mailing Address1200 5th Ave Ste 800Seattle, WA 98101-3136 · (206) 374-0109 · Fax (206) 374-0108

Phone(206) 374-0109

Fax(206) 374-0108

Sole ProprietorNo

Enumeration DateMay 2, 2023

NPPES CertifiedMay 2, 2023

✔ NPI 1669161097 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 · 61367490

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 STE 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

Alta Du Pont 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 May 11, 2023 through May 11, 2027.

Opt-Out Effective DateMay 11, 2023

Opt-Out In Effect ThroughMay 11, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

DR. ASHLEIGH MARIE HARVEY PHD

Student in an Organized Health Care Education/Training Program