Peter Thanh Nguyen, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY60739170 Issued in WA

Practice address

4208 198TH St SW Ste 101D
Lynnwood, WA 98036-6736

Phone

(360) 851-9867

NPI assigned

Sep 19, 2017

Last updated

Aug 4, 2022By 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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peter T Nguyen PHD PLLC

  dba Evergreen Sound Psychology

  • Clinical Neuropsychologist
  • Lynnwood, WA
  • NPI 1225853898
  NPD Authorized official

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1073032231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 198TH ST SW STE 101D",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366736",
            "telephone_number": "360-851-9867",
            "fax_number": "360-809-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 198TH ST SW STE 101D",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366736",
            "telephone_number": "360-851-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PETER",
        "middle_name": "THANH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-19",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WA",
            "license": "PY60739170",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60739170",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Trinh Nguyen, OD
• Jade Aimee Ngoc Nguyen, DNP, ARNP, FNP-BC
• Julie Mai-Anh Nguyen, PHARMD
• Katherine Nguyen
• My-Nga Thi Nguyen, PHARM. D
• Phuong-Thanh Thi Nguyen, RN
• Son C Nguyen, D.D.S.
• Tai Trong Nguyen
• Tam Ngoc Thanh Nguyen, DO
• Tiffany Nguyen, RPH

• Clinical Neuropsychologist in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Clinical Neuropsychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.