Individual provider Active NPI

Aaron Parker, PSYD

  • Rehabilitation Psychologist
  • Seattle, WA
National Provider Identifier
1164072260
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
License
PSYC.PY.60961656 Issued in WA
Practice address
509 Olive Way Ste 204
Seattle, WA 98101-1726
Phone
(206) 551-9711
NPI assigned
Sep 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X PSYC.PY.60961656 WA
Clinical Psychologist 103TC0700X PSYC.PY.60961656 WA
Health Psychologist 103TH0004X PSYC.PY.60961656 WA
Rehabilitation Psychologist 103TR0400X PSYC.PY.60961656 WA Primary

Addresses

Primary practice location

509 Olive Way Ste 204
Seattle, WA 98101-1726

Mailing address

509 Olive Way Ste 204
Seattle, WA 98101-1726
Phone (206) 551-9711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200403002886 WA Practitioner - Clinical Psychologist 4981033479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

509 Olive Way
Suite 855
Seattle, WA 98101-1769
Phone (206) 486-4932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSYC.PY.60961656WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Association of University Physicians CurrentSince Mar 5, 2020 Accepting new patients
Aaron Parker, Psychology, PLLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

509 Olive Way
Ste 204
Seattle, WA 98101
Phone (206) 329-5255

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

509 Olive Way
Ste 855
Seattle, WA 98101
Phone (206) 486-4932

325 9th Ave
Seattle, WA 98104
Phone (206) 731-3000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1164072260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011726",
            "telephone_number": "206-551-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011726",
            "telephone_number": "206-551-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-19",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "WA",
            "license": "PSYC.PY.60961656",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PSYC.PY.60961656",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "WA",
            "license": "PSYC.PY.60961656",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "WA",
            "license": "PSYC.PY.60961656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.