Individual provider Active NPI

Natalie Goodwin, PHD

  • Psychologist
  • Seattle, WA
National Provider Identifier
1215464953
Registry record updated Aug 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY60479161 Issued in WA
Practice address
1127 10TH Ave E Ste 2
Seattle, WA 98102-4377
Phone
(425) 954-6584
NPI assigned
May 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY60479161 WA Primary

Addresses

Primary practice location

1127 10TH Ave E Ste 2
Seattle, WA 98102-4377

Mailing address

1127 10TH Ave E Ste 2
Seattle, WA 98102-4377
Phone (425) 954-6584

Other practice location 1

1231 116th Ave. NE
Suite 350
Bellevue, WA 98004
Phone (425) 326-5335

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

LicenseStateTypeSpecialty
PY60479161WAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597536000000",
    "number": "1215464953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 10TH AVE E STE 2",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981024377",
            "telephone_number": "425-954-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 10TH AVE E STE 2",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981024377",
            "telephone_number": "425-954-6584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1231 116th Ave. NE",
            "address_2": "Suite 350",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "98004",
            "country_code": "US",
            "telephone_number": "425-326-5335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "NATALIE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60479161",
            "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 Aug 16, 2020; 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.