Individual provider Active NPI

Marika Kyrimis, PH.D.

  • Clinical Psychologist
  • Seattle, WA
National Provider Identifier
1053584201
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60751417 Issued in WA
Practice address
6031 Beach Dr SW
Seattle, WA 98136-1349
Phone
(206) 488-5283
Fax
(646) 437-3582
NPI assigned
Apr 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 017366 NY
Clinical Psychologist 103TC0700X PY60751417 WA Primary

Addresses

Primary practice location

6031 Beach Dr SW
Seattle, WA 98136-1349

Mailing address

6031 Beach Dr SW
Seattle, WA 98136-1349
Phone (206) 488-5283

Other names 1

  • Dr. Christina Marika Kyrimis Other name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY60751417WAMDClinical Psychologist
017366NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053584201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 BEACH DR SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361349",
            "telephone_number": "206-488-5283",
            "fax_number": "646-437-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6031 BEACH DR SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361349",
            "telephone_number": "206-488-5283",
            "fax_number": "646-437-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYRIMIS",
        "first_name": "MARIKA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017366",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60751417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "KYRIMIS",
            "middle_name": "MARIKA",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 21, 2022; 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.