Organization Active NPI

John B. Cardinali, Psy.D., PS

  • Clinical Psychologist
  • Seattle, WA
National Provider Identifier
1194959429
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY2300 Issued in WA
Legal business name
JOHN B. CARDINALI, PSY.D., PS
Practice address
4705 16TH Ave NE
Seattle, WA 98105-4208
Phone
(206) 721-1200
Fax
(206) 527-0725
NPI assigned
May 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Authorized official

Name
Dr. John B Cardinali, PSY.D.
Title
Owner/Licensed Psychologist
Phone
(206) 721-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY2300 WA Primary

Addresses

Primary practice location

4705 16TH Ave NE
Seattle, WA 98105-4208

Mailing address

4705 16TH Ave NE
Seattle, WA 98105-4208
Phone (206) 721-1200

National Provider Directory

National Provider Directory

Locations

4705 16th Ave NE
Seattle, WA 98105
Phone (206) 293-2577

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1194959429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 16TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054208",
            "telephone_number": "206-721-1200",
            "fax_number": "206-527-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 16TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054208",
            "telephone_number": "206-721-1200",
            "fax_number": "206-527-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN B. CARDINALI, PSY.D., PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "CARDINALI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "206-721-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY2300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.