Seattle Psychology, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PY00002395 Issued in WA

Legal business name

SEATTLE PSYCHOLOGY, PLLC

Doing business as

Seattle Psychology

Practice address

1307 N 45TH St
Suite 200
Seattle, WA 98103-6741

Phone

(206) 420-4701

Fax

(206) 420-4841

NPI assigned

Jan 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Li K Ravicz, PHD

Title

Clinical Director

Phone

(206) 909-5574

Specialties & licenses 1

Addresses

Other names 1

• Seattle Psychology Doing business as

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1205258720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 N 45TH ST",
            "address_2": "SUITE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036741",
            "telephone_number": "206-420-4701",
            "fax_number": "206-420-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 N 45TH ST",
            "address_2": "SUITE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036741",
            "telephone_number": "206-420-4701",
            "fax_number": "206-420-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "RAVICZ",
        "authorized_official_first_name": "LI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "206-909-5574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "PY00002395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seattle Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Seattle Psychologists, PS
• Seattle Psychotherapy Collaborative
• Seattle Public Schools
• Seattle Public Schools
• Seattle Radiologists a Professional Corporation
• Seattle Radiologists, a Professional Corporation

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.