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Jan Bacon, PHD
NPI 1457335820 · Clinical Psychologist · Lakewood, WA
Jan Bacon, PHD is a Clinical Psychologist provider in Lakewood, WA (NPI 1457335820).
Provider details
- NPI number
- 1457335820
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- PY00001639 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9125 Bridgeport Way Sw Ste 102
Lakewood, WA 98499-2448
Phone: (253) 254-8284
Fax: (253) 276-0082
Street-level locationGet directions
Mailing address
9125 Bridgeport Way Sw Ste 102
Lakewood, WA 98499-2448
Registry dates
- Enumerated
- 2005-11-30
- Last updated
- 2018-04-18
Frequently asked questions
- What is Jan Bacon's NPI number?
- Jan Bacon's National Provider Identifier (NPI) is 1457335820, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jan Bacon's specialty?
- Jan Bacon is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jan Bacon located?
- Jan Bacon's practice location on file with NPPES is 9125 Bridgeport Way Sw Ste 102, Lakewood, WA 98499-2448.
- What is Jan Bacon's phone number?
- The practice phone number listed in the NPPES registry for Jan Bacon is (253) 254-8284.
- Is Jan Bacon's NPI active?
- Yes — Jan Bacon's NPI (1457335820) is active in the NPPES registry as of the last update on 2018-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.