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Dr. Ross Lowell Mayberry , PhD

Psychologist β€’ Edmonds, WA

Active NPI 1609948678 Individual Practitioner Male Practitioner
Practice location in NPPES

1402 10th Pl N
Edmonds, WA 980202629

Call 2067359592 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

1402 10th Pl N

Edmonds, WA 980202629

Telephone 2067359592
Fax 2063237324

NPI first issued

2006

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 Edmonds and Washington

9 active clinicians are listed under Psychologist with a practice address in Edmonds, WA (1,089 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Addresses are self-reported to NPPES and may be out of date.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 Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES WA WAPSY1297

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Psychologist - Counseling

NUCC Taxonomy Code: 103TC1900X

License # reported to NPPES WA PSY 1297

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

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

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Tax Id #
91-1985428

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location January 25, 2024

Registered at 1402 10TH PL N, EDMONDS, WA 980202629 (Tel: 2067359592)

πŸ“
Updated Business Mailing Address January 25, 2024

Registered at 1402 10TH PL N, EDMONDS, WA 980202629 (Tel: 2067359592)

πŸ‘€
Provider Name / Credentials Updated January 25, 2024

Recorded as ROSS MAYBERRY, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2024

Psychologist (license number reported to NPPES: WA PSY 1297)

βœ…
NPI Profile Active March 23, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 23, 2010

Registered at 620-15TH AVE E, SEATTLE, WA 98112 (Tel: 2063237323)

πŸ“
Business Mailing Address (Initial Record) March 23, 2010

Registered at 7567 CALIFORNIA AVE SW, SEATTLE, WA 98136 (Tel: 2063237323)

πŸ‘€
Provider Name / Credentials (Initial Record) March 23, 2010

Recorded as ROSS MAYBERRY, PHD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2010

Psychologist (license number reported to NPPES: WA WAPSY1297)

🟒
Initial NPI Registration & Enumeration November 15, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1609948678
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2006
Last Update: January 25, 2024
Sole Proprietor: Yes

Mailing Address

1402 10th Pl N

Edmonds, WA 980202629

Phone: 2067359592

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.