Organization Active NPI

Rooted Healing Collective

  • Psychologist
  • Seattle, WA
National Provider Identifier
1033028501
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ROOTED HEALING COLLECTIVE
Practice address
4847 California Ave SW Ste 100
Seattle, WA 98116-4470
Phone
(425) 931-6450
NPI assigned
Sep 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Tyson Bailey, PSYD ABPP
Title
Partner
Phone
(425) 931-6450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

4847 California Ave SW Ste 100
Seattle, WA 98116-4470

Mailing address

4847 California Ave SW Ste 100
Seattle, WA 98116-4470
Phone (425) 931-6450

NPI Registry JSON

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1033028501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4847 CALIFORNIA AVE SW STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164470",
            "telephone_number": "425-931-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4847 CALIFORNIA AVE SW STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164470",
            "telephone_number": "425-931-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED HEALING COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "TYSON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "425-931-6450",
        "authorized_official_credential": "PSYD ABPP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.