Lynette Ann Wyatt Lewis, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY60716145 Issued in WA

Practice address

19803 N Creek Pkwy Ste 205
Bothell, WA 98011-5014

Phone

(425) 563-5213

NPI assigned

Mar 19, 2020

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Oct 10, 2025 through Oct 10, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lynette Lewis Psychological Services

  dba Lynette Lewis Therapy

  • Counseling Psychologist
  • Woodinville, WA
  • NPI 1073989133
  NPD (past) Authorized official

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1144856394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 200TH PL SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980127749",
            "telephone_number": "425-563-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19803 N CREEK PKWY STE 205",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115014",
            "telephone_number": "425-563-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "LYNETTE",
        "middle_name": "ANN WYATT",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60716145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Lessor, RN
• Susan Leu, MD
• Annemarie Leung, RN
• Maria M Levchuk X
• Ashley Michele Levien, MA, LMHC
• Sarah Lousie Leyde, LMP
• Cindy Lynn Leyva, RN
• Cynthia Sin Ting Li, PHARMD
• Yan Li
• Lijuan Liang

• Psychologist in Bothell, WA
• Providers in Bothell, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.

Verify at the official NPI Registry.