IndividualActive
W Fredrickson, PHD
NPI 1679555411 · Psychologist · Medical Lake, WA
W Fredrickson, PHD is a Psychologist provider in Medical Lake, WA (NPI 1679555411).
Provider details
- NPI number
- 1679555411
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- License
- PY00001283 (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
800 West Maple Street
Medical Lake, WA 99022-0800
Phone: (509) 299-3121
Fax: (509) 299-7015
Street-level locationGet directions
Mailing address
800 West Maple Street
Medical Lake, WA 99022-0800
Registry dates
- Enumerated
- 2005-11-17
- Last updated
- 2007-07-08
Frequently asked questions
- What is W Fredrickson's NPI number?
- W Fredrickson's National Provider Identifier (NPI) is 1679555411, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is W Fredrickson's specialty?
- W Fredrickson is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is W Fredrickson located?
- W Fredrickson's practice location on file with NPPES is 800 West Maple Street, Medical Lake, WA 99022-0800.
- What is W Fredrickson's phone number?
- The practice phone number listed in the NPPES registry for W Fredrickson is (509) 299-3121.
- Is W Fredrickson's NPI active?
- Yes — W Fredrickson's NPI (1679555411) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.