Active NPI
Jane Liaw-Gray, PSYD
- Clinical Psychologist
- Bellevue, WA
National Provider Identifier
1003001306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY60546231
- Practice address
- 410 Bellevue Way SE
Suite 303
Bellevue, WA 98004-6672 - Phone
- (425) 610-8234
- NPI assigned
- Sep 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY60546231 | WA | Primary |
Addresses
Primary practice location
410 Bellevue Way SE
Suite 303
Bellevue, WA 98004-6672
Mailing address
410 Bellevue Way SE
Suite 303
Bellevue, WA 98004-6672
Phone (425) 610-8234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY60546231 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457481600000",
"number": "1003001306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 BELLEVUE WAY SE",
"address_2": "SUITE 303",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980046672",
"telephone_number": "425-610-8234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 BELLEVUE WAY SE",
"address_2": "SUITE 303",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980046672",
"telephone_number": "425-610-8234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIAW-GRAY",
"first_name": "JANE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-10",
"last_updated": "2016-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60546231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.