Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Dolezal

Individual provider Psychologist · NPI 1619353851

Michael Dolezal is a Clinical Psychologist in Seattle, Washington. Qualified in 2022, 4 years ago. Practices with The Association of University Physicians, a 3,459-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
4
Licensed in
WA
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

325 9th Ave
Seattle, WA 98104-2420
Phone: (206) 520-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 410 9th Ave N, Seattle, WA 98109-4708 — (206) 520-5000

Specialties & licences

Rehabilitation Psychologist (primary) Taxonomy 103TR0400X · Licence PY61536516 (WA)
Psychologist Taxonomy 103T00000X · Licence PY61536516 (WA)
Clinical Psychologist Taxonomy 103TC0700X · Licence PY61536516 (WA)

Record details

NPI number1619353851
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 10, 2015
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024
Mailing addressPo Box 50095, Seattle, WA 98145-5095

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice The Association Of University Physicians — 3459 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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