Active NPI
Diedra L Clay, PSY.D., CDP
- Clinical Psychologist
- Seattle, WA
National Provider Identifier
1205088689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY00002708
- Practice address
- 2800 E Madison St Ste 320
Seattle, WA 98112-4871 - Phone
- (206) 853-8257
- NPI assigned
- Oct 16, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | CP00000182 | WA | |
| Clinical Psychologist | 103TC0700X | PY00002708 | WA | Primary |
Addresses
Primary practice location
2800 E Madison St Ste 320
Seattle, WA 98112-4871
Mailing address
2800 E Madison St Ste 320
Seattle, WA 98112-4871
Phone (206) 853-8257
Other practice location 1
2025 1st Ave
Suite 720
Seattle, WA 98121-2158
Phone (206) 853-8257
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP00000182 | WA | MD | Addiction (Substance Use Disorder) Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1205088689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 E MADISON ST STE 320",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981124871",
"telephone_number": "206-853-8257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 E MADISON ST STE 320",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981124871",
"telephone_number": "206-853-8257"
}
],
"practiceLocations": [
{
"address_1": "2025 1st Ave",
"address_2": "Suite 720",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981212158",
"country_code": "US",
"telephone_number": "206-853-8257",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLAY",
"first_name": "DIEDRA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PSY.D., CDP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP00000182",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY00002708",
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.