Active NPI
Kevin L Sloan, MD, PLLC
- Psychiatry Physician
- Mercer Island, WA
National Provider Identifier
1124353156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD00029132
- Legal business name
- KEVIN L SLOAN, MD, PLLC
- Practice address
- 4731 84TH Ave SE
Mercer Island, WA 98040-4322 - Phone
- (206) 375-2774
- Fax
- (206) 829-9410
- NPI assigned
- Oct 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin Lawrence Sloan
- Title
- Owner/Provider
- Phone
- (206) 829-9137
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD00029132 | WA | Primary |
Addresses
Primary practice location
4731 84TH Ave SE
Mercer Island, WA 98040-4322
Mailing address
4731 84TH Ave SE
Mercer Island, WA 98040-4322
Phone (206) 375-2774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8015 SE 28th St
Ste 218
Mercer Island, WA 98040
Phone (206) 375-2774
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Mercer Island, WA
- NPI 1558470195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763164800000",
"number": "1124353156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4731 84TH AVE SE",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980404322",
"telephone_number": "206-375-2774",
"fax_number": "206-829-9410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4731 84TH AVE SE",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980404322",
"telephone_number": "206-375-2774",
"fax_number": "206-829-9410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEVIN L SLOAN, MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-08",
"last_updated": "2025-11-15",
"certification_date": "2025-11-15",
"status": "A",
"authorized_official_last_name": "SLOAN",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "LAWRENCE",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "206-829-9137",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD00029132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mercer Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.