Active NPI
Swedish Edmonds
- Psychiatry Physician
- Edmonds, WA
National Provider Identifier
1053626465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- SWEDISH EDMONDS
- Practice address
- 21601 76TH Ave W.
Edmonds, WA 98026-2100 - Phone
- (425) 640-4000
- Fax
- (425) 640-4450
- NPI assigned
- Aug 10, 2010
- Organization subpart
- Yes
- Parent organization
- SWEDISH EDMONDS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Wayne Anderson Jr.
- Title
- Assistant Secreatry for Enrollment
- Phone
- (425) 358-9786
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary | ||
| Psychiatric Hospital Unit | 273R00000X |
Addresses
Primary practice location
21601 76TH Ave W.
Edmonds, WA 98026-2100
Mailing address
PO Box 84026
Seattle, WA 98124-8426
Phone (425) 673-3374
Other names 1
- DBA: SWEDISH EDMONDS PSYCHIATRIC SERVICES
National Provider Directory
National Provider Directory- Part of
- Swedish Edmonds
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753920000000",
"number": "1053626465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 84026",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981248426",
"telephone_number": "425-673-3374",
"fax_number": "425-640-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21601 76TH AVE W.",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980262100",
"telephone_number": "425-640-4000",
"fax_number": "425-640-4450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWEDISH EDMONDS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SWEDISH EDMONDS",
"enumeration_date": "2010-08-10",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "ASSISTANT SECREATRY FOR ENROLLMENT",
"authorized_official_telephone_number": "425-358-9786",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DBA: SWEDISH EDMONDS PSYCHIATRIC SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.