Active NPI
Dialogical Therapy, PLLC
- Psychiatry Physician
- Lynnwood, WA
National Provider Identifier
1194387332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- DIALOGICAL THERAPY, PLLC
- Practice address
- 19410 Highway 99 Ste A263
Lynnwood, WA 98036-5102 - Phone
- (253) 212-3101
- Fax
- (253) 212-3225
- NPI assigned
- Jul 8, 2019
- 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
- Fletcher B Taylor, MD
- Title
- Medical Director
- Phone
- (253) 212-3101
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
19410 Highway 99 Ste A263
Lynnwood, WA 98036-5102
Mailing address
19410 Highway 99 Ste A263
Lynnwood, WA 98036-5102
Phone (253) 212-3101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200212001412 | WA | Part B Supplier - Clinic/Group Practice | 4284060120 | Practice locations: Seattle, WA; Tacoma, WA; Leavenworth, WA |
National Provider Directory
National Provider DirectoryLocations
34004 9th Ave S
Ste A11
Federal Way, WA 98003
Phone (206) 930-4468
19410 Highway 99
Ste A263
Lynnwood, WA 98036
Phone (253) 212-3101
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Seattle, WA
- NPI 1114562824
-
- Marriage & Family Therapist
- Lynnwood, WA
- NPI 1134374267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696377600000",
"number": "1194387332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19410 HIGHWAY 99 STE A263",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365102",
"telephone_number": "253-212-3101",
"fax_number": "253-212-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19410 HIGHWAY 99 STE A263",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365102",
"telephone_number": "253-212-3101",
"fax_number": "253-212-3225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIALOGICAL THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-08",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "FLETCHER",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "253-212-3101",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.