Angela Hedwall, PY

Primary specialty

PsychologistTaxonomy code 103T00000X

License

61233152 Issued in WA

Practice address

12253 Des Moines Memorial Dr S
Seattle, WA 98168-2230

Phone

(206) 460-0767

NPI assigned

May 6, 2021

Sex

Female

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

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.

• Bluestone Psychological Services, LLC

  • Mental Health Counselor
  • Edmonds, WA
  • NPI 1811269624
  NPD (past)

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1154905073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12253 DES MOINES MEMORIAL DR S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981682230",
            "telephone_number": "206-460-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12253 DES MOINES MEMORIAL DR S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981682230",
            "telephone_number": "206-460-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDWALL",
        "first_name": "ANGELA",
        "credential": "PY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61080246",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "61233152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Anne Hedrick, PHD
• Richard A Hedrick, PA-C
• Anna Bruett Hedstrom, MD
• Monika Marie Hedstrom
• Richard Allen Hedstrom, APRN
• Brooke Heelan, PHARMD
• Amanda Marie Heep, NP-C, ND, EAMP
• Megan Heeren
• Kathleen Marie Heerschap
• Michelle Heertje, AAC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.