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
Last updated
Sep 2, 2026By the provider in NPPES
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 ABPPNPI 1366739435
Title
Partner
Phone
(425) 931-6450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

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

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.