IndividualActive
Mara Gustafson, PHD
NPI 1811599483 · Psychologist · Seattle, WA
Provider details
- NPI number
- 1811599483
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- PY61031462 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
10625 Dixon Dr S
Seattle, WA 98178-2718
Phone: (847) 827-0700
Street-level locationGet directions
Mailing address
10625 Dixon Dr S
Seattle, WA 98178-2718
Registry dates
- Enumerated
- 2020-11-10
- Last updated
- 2020-11-10
- Certified
- 2020-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.