IndividualActive
Michael Dolezal
NPI 1619353851 · Rehabilitation Psychologist · Seattle, WA
Provider details
- NPI number
- 1619353851
- Entity type
- Individual
- Primary specialty
- Rehabilitation PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PY61536516 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
325 9th Ave
Seattle, WA 98104-2420
Phone: (206) 520-5000
Street-level locationGet directions
Mailing address
Po Box 50095
Seattle, WA 98145-5095
Additional practice locations (1)
- 410 9th Ave NSeattle, WA 98109-4708Phone: (206) 520-5000
Registry dates
- Enumerated
- 2015-08-10
- Last updated
- 2024-09-05
- Certified
- 2024-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.