WASHINGTON STATE PSYCHOLOGICAL SERVICES, LLC
NPI 1801130976
Psychologist - Rehabilitation in Lynnwood, WA

Q: What is Washington State Psychological Services, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Rehabilitation, with taxonomy code 103TR0400X.

Active since November 15, 2012

5105 200TH ST SW STE 100, LYNNWOOD, WA 98036(425) 387-6972(425) 377-0701 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Washington State Psychological Services, Llc NPPES

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

WASHINGTON STATE PSYCHOLOGICAL SERVICES, LLC (NPI 1801130976) is a healthcare organization registered as a rehabilitation in Lynnwood, Washington and active in the NPI registry since November 2012. The organization lists Brenda Havellana, Neuropsychologist, as its authorized official.

NPPES Registry Identity

NPI1801130976

Entity TypeOrganization

Primary Taxonomy103TR0400X

Legal Business NameWASHINGTON STATE PSYCHOLOGICAL SERVICES, LLC

Location Address5105 200TH ST SW STE 100Lynnwood, WA 98036-6397

Mailing Address3224 75th Dr NeMarysville, WA 98270-6804 · (425) 387-6972

Phone(425) 387-6972

Fax(425) 377-0701

Organization SubpartNo

Authorized OfficialBrenda HavellanaNeuropsychologist · (425) 387-6972

Enumeration DateNovember 15, 2012

✔ NPI 1801130976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · RehabilitationBehavioral Health & Social Service Providers

Taxonomy Code103TR0400X

License✔ Licensed in WA · PY60014648

Definition

A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities.

5105 200TH ST SW STE 100, Lynnwood, WA 98036

Open in Google Maps ↗

Other Identifiers 1

Medicare PING8874870WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

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 Washington State Psychological Services, LLC's NPI number?

The NPI number for Washington State Psychological Services, LLC is 1801130976. It was assigned to this organization in the NPPES registry on November 15, 2012.

Where is Washington State Psychological Services, LLC located?

Washington State Psychological Services, LLC is located at 5105 200th St SW Ste 100, Lynnwood, WA 98036. The listed phone number is (425) 387-6972.

What is Washington State Psychological Services, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Rehabilitation, with taxonomy code 103TR0400X.

What insurance does Washington State Psychological Services, LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Washington State Psychological Services, LLC 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 Washington State Psychological Services, LLC was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.