Active NPI
Andrea Christine Pascarelli, PSYCHOLOGIST
- Clinical Psychologist
- Seattle, WA
National Provider Identifier
1225269228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 00003799
- Practice address
- 2101 E Yesler Way
Suite 100
Seattle, WA 98122-5959 - Phone
- (206) 987-7267
- Fax
- (206) 987-7275
- NPI assigned
- Aug 7, 2009
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 00003799 | WA | Primary |
| Clinical Psychologist | 103TC0700X | 018047-1 | NY |
Addresses
Primary practice location
2101 E Yesler Way
Suite 100
Seattle, WA 98122-5959
Mailing address
2101 E Yesler Way
Suite 100
Seattle, WA 98122-5959
Phone (206) 987-7267
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 |
|---|---|---|---|
| 00003799 | WA | MD | Clinical Psychologist |
| 018047-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249603200000",
"number": "1225269228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 E YESLER WAY",
"address_2": "SUITE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225959",
"telephone_number": "206-987-7267",
"fax_number": "206-987-7275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 E YESLER WAY",
"address_2": "SUITE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225959",
"telephone_number": "206-987-7267",
"fax_number": "206-987-7275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCARELLI",
"first_name": "ANDREA",
"middle_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-07",
"last_updated": "2009-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "00003799",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "018047-1",
"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 7, 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.