Organization Active NPI

Dialogical Therapy, PLLC

  • Psychiatry Physician
  • Lynnwood, WA
National Provider Identifier
1194387332
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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

Updated by the provider on Oct 4, 2023

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20200212001412 WA Part B Supplier - Clinic/Group Practice 4284060120 Practice locations: Seattle, WA; Tacoma, WA; Leavenworth, WA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.