Active NPI
Christopher L Stevens, PHD
- Clinical Psychologist
- Seattle, WA
National Provider Identifier
1194983015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY60156501
- Practice address
- 4425 Fremont Ave N
Seattle, WA 98103-7225 - Phone
- (206) 632-7208
- NPI assigned
- May 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY60156501 | WA | Primary |
| Psychologist | 103T00000X | CA 21900 | CA |
Addresses
Primary practice location
4425 Fremont Ave N
Seattle, WA 98103-7225
Mailing address
4425 Fremont Ave N
Seattle, WA 98103-7225
Phone (206) 632-7208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CA 21900 | CA | MD | Psychologist |
| PY60156501 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281398400000",
"number": "1194983015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 FREMONT AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981037225",
"telephone_number": "206-632-7208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 FREMONT AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981037225",
"telephone_number": "206-632-7208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "CHRISTOPHER",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-28",
"last_updated": "2010-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60156501",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "CA 21900",
"primary": false
}
],
"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 Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.