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Dr. Nathaniel John Jungbluth , PhD

Psychologist - Clinical β€’ Bothell, WA

Active NPI 1750716155 Individual Practitioner Male Practitioner
Practice location in NPPES

19803 North Creek Pkwy, Suite 205
Bothell, WA 98011

Call 4259546038 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

19803 North Creek Pkwy
Suite 205

Bothell, WA 98011

Telephone 4259546038

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bothell and Washington

5 active clinicians are listed under Psychologist - Clinical with a practice address in Bothell, WA (1,675 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

License # reported to NPPES WA PY60373417

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location July 11, 2018

Registered at 19803 NORTH CREEK PKWY, SUITE 205, BOTHELL, WA 98011 (Tel: 4259546038)

πŸ“
Updated Business Mailing Address July 11, 2018

Registered at 19803 NORTH CREEK PKWY, SUITE 205, BOTHELL, WA 98011 (Tel: 4259546038)

βœ…
NPI Profile Active November 20, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 20, 2013

Registered at 18500 156TH AVE NE, STE 202, WOODINVILLE, WA 980724459 (Tel: 4259546038)

πŸ“
Business Mailing Address (Initial Record) November 20, 2013

Registered at 18500 156TH AVE NE, STE 202, WOODINVILLE, WA 980724459 (Tel: 4259546038)

πŸ‘€
Provider Name / Credentials (Initial Record) November 20, 2013

Recorded as NATHANIEL JUNGBLUTH, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2013

Psychologist (license number reported to NPPES: WA PY60373417)

🟒
Initial NPI Registration & Enumeration September 05, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1750716155
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 05, 2013
Last Update: July 11, 2018
Sole Proprietor: Yes

Mailing Address

19803 North Creek Pkwy, Suite 205

Bothell, WA 98011

Phone: 4259546038

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.