Gene McConnachie, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY1806 Issued in WA

Practice address

19545 2ND Ave NW
Shoreline, WA 98177-2506

Phone

(206) 546-5992

NPI assigned

Dec 17, 2013

Last updated

Feb 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1023439106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19545 2ND AVE NW",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981772506",
            "telephone_number": "206-546-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19545 2ND AVE NW",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981772506",
            "telephone_number": "206-546-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNACHIE",
        "first_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-17",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY1806",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00001806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thea Maxim, SUDPT
• Tynishas Marie May
• Carley Jean Borgen McBride, RN
• Lauren Megan McCarthy
• Benjamin McCauley
• Charis McConnel
• Kristin McCowan
• Chieni McCullough, O.T.R.
• Catherine Eileen McDonald
• Alison McDougal

• Psychologist in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.