Active NPI
Stephanie Pickering, PHD
- Clinical Psychologist
- Seattle, WA
National Provider Identifier
1124173208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY60064023
- Practice address
- 2101 E Yesler Way
Suite 100
Seattle, WA 98122-5959 - Phone
- (206) 987-7271
- Fax
- (206) 987-7275
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY60064023 | WA | Primary |
Addresses
Primary practice location
2101 E Yesler Way
Suite 100
Seattle, WA 98122-5959
Mailing address
2101 E Yesler Way
Suite 100
Seattle, WA 98122-5959
Phone (206) 987-7271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Children'S Hospital | Current | Accepting new patients |
Locations
4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Seattle, WA
- NPI 1003319500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245283200000",
"number": "1124173208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 E YESLER WAY",
"address_2": "SUITE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225959",
"telephone_number": "206-987-7271",
"fax_number": "206-987-7275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 E YESLER WAY",
"address_2": "SUITE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225959",
"telephone_number": "206-987-7271",
"fax_number": "206-987-7275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKERING",
"first_name": "STEPHANIE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2009-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60064023",
"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 Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.