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PHILLIP S. TATE PHD, PLLC
NPI 1942018866
Psychologist - Clinical in Puyallup, WA

Active since December 23, 2024
12303 MERIDIAN E STE 202, PUYALLUP, WA 98373(253) 268-0854(253) 268-0854 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2025, Dec 23, 2024 (2 updates tracked since 2024).

About Phillip S. Tate Phd, Pllc NPPES

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

PHILLIP S. TATE PHD, PLLC (NPI 1942018866) is a healthcare organization registered as a clinical in Puyallup, Washington and active in the NPI registry since December 2024. The organization lists Phillip S Tate, Owner, as its authorized official.

NPPES Registry Identity

NPI1942018866
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NamePHILLIP S. TATE PHD, PLLC
Location Address12303 MERIDIAN E STE 202Puyallup, WA 98373-3418
Mailing Address12303 Meridian E Ste 202Puyallup, WA 98373-3418 · (253) 268-0854 · Fax (253) 268-0854
Phone(253) 268-0854
Fax(253) 268-0854
Organization SubpartNo
Authorized OfficialPhillip S TateOwner · (253) 455-4626
Enumeration DateDecember 23, 2024
Last NPPES UpdateApril 7, 20252 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1942018866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
12303 MERIDIAN E STE 202, Puyallup, WA 98373
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phillip S. Tate Phd, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Phillip S. Tate Phd, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Phillip Tate, PH.D.
Clinical Psychologist
NPI 1023385366
12303 MERIDIAN E STE 202
Puyallup, WA 98373
(253) 268-0854
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Phillip S. Tate Phd, PLLC's NPI number?

The NPI number for Phillip S. Tate Phd, PLLC is 1942018866. It was assigned to this organization in the NPPES registry on December 23, 2024.

Where is Phillip S. Tate Phd, PLLC located?

Phillip S. Tate Phd, PLLC is located at 12303 Meridian E Ste 202, Puyallup, WA 98373. The listed phone number is (253) 268-0854.

What is Phillip S. Tate Phd, PLLC's specialty?

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

Is Phillip S. Tate Phd, PLLC enrolled in Medicare?

Yes. Phillip S. Tate Phd, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phillip S. Tate Phd, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Phillip S. Tate Phd, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Phillip S. Tate Phd, PLLC was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.