DR. DAVID HERZOG PSY.D. NPI 1205266384

NPI Information

  • NPI: 1205266384
  • Provider Name: DR. DAVID HERZOG, PSY.D.
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 7522 221ST PL SW
    EDMONDS, WA
    ZIP 98026
  • Phone: (626) 864-2343

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NPI Details

DR. David Herzog, PSY.D. is a clinical psychologist in Edmonds, WA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. David Herzog, PSY.D. NPI is 1205266384. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7522 221ST PL SW
EDMONDS, WA
ZIP 98026-029
Phone: (626) 864-2343

The enumeration date for this NPI number is 11/26/2013 and was last updated on 2/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TA0400XPsychologistAddiction (Substance Use Disorder)1336HAWAIINo
2103TA0700XPsychologistAdult Development & Aging1336HAWAIINo
3103TC0700XPsychologistClinical1336HAWAIIYes
4103TC2200XPsychologistClinical Child & Adolescent1336HAWAIINo
5103TE1100XPsychologistExercise & Sports1336HAWAIINo
6103TF0000XPsychologistFamilyNo
7103TP2701XPsychologistGroup PsychotherapyNo
8103TR0400XPsychologistRehabilitation1336HAWAIINo
9103TH0004XPsychologistHealth1336HAWAIINo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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