Individual provider Active NPI

Saritha A Reddy, MD

  • Child & Adolescent Psychiatry Physician
  • Auburn, WA
National Provider Identifier
1013032028
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD00039427 Issued in WA
Practice address
17500 SE 392ND St
Auburn, WA 98092-9705
Phone
(253) 939-6648
Fax
(253) 735-6705
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD00039427 WA
Child & Adolescent Psychiatry Physician 2084P0804X MD00039427 WA Primary

Addresses

Primary practice location

17500 SE 392ND St
Auburn, WA 98092-9705

Mailing address

17500 SE 392ND St
Auburn, WA 98092-9705
Phone (253) 939-6648

Other practice location 1

8201 164th Ave NE Ste 200
Redmond, WA 98052-7615
Phone (425) 641-8678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170427002252 TX Practitioner - Psychiatry 1557648607 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00039427WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Muckleshoot Indian Tribe CurrentSince Mar 11, 2017 Accepting new patients

Locations

17500 SE 392nd St
Auburn, WA 98092
Phone (253) 939-6648

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1013032028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17500 SE 392ND ST",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980929705",
            "telephone_number": "253-939-6648",
            "fax_number": "253-735-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 SE 392ND ST",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980929705",
            "telephone_number": "253-939-6648",
            "fax_number": "253-735-6705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8201 164th Ave NE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980527615",
            "country_code": "US",
            "telephone_number": "425-641-8678",
            "fax_number": "425-484-4849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SARITHA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00039427",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WA",
            "license": "MD00039427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.