Emily Jane Rastall, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 60133188 Issued in WA

Practice address

4909 25TH Ave NE
Seattle, WA 98105-4107

Phone

(206) 987-8080

Fax

(206) 987-8081

NPI assigned

Sep 23, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2021 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1104134246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8349 JONES AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981173503",
            "telephone_number": "360-904-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 25TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054107",
            "telephone_number": "206-987-8080",
            "fax_number": "206-987-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTALL",
        "first_name": "EMILY",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY 60133188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold Hans Rasmussen, DC
• Mary Rasmussen, MS, RD, CSO, CD
• Timothy James Rasmussen
• Anna Taylor Rassman
• Mechthild Martha Rast, PH.D
• Anisha Rastogi
• Nidhi Amy Rastogi
• Raina Ratcheson
• Viktoria Ratchford
• Jennifer L Ratcliff, MS, ATC

• Clinical Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.