Individual provider Active NPI

Theodore J. Albrecht, PSYD

  • Clinical Neuropsychologist
  • Seattle, WA
National Provider Identifier
1225814312
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Practice address
415 1St Ave N Ste 200
Seattle, WA 98109-4765
Phone
(206) 859-5030
Fax
(206) 859-5031
NPI assigned
Sep 5, 2023
Last updated
Sep 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X Primary

Addresses

Primary practice location

415 1St Ave N Ste 200
Seattle, WA 98109-4765

Mailing address

415 1St Ave N Ste 200
Seattle, WA 98109-4765
Phone (206) 859-5030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250915000481 WA Practitioner - Clinical Psychologist 5698276780 Reassigns benefits to 1 organization
Practice locations: Seattle, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balanced Family Chiropractic LLCGroup PAC ID 7810305869, 2 clinicians

Practice addresses (Care Compare)

16201 25TH Ave W
Lynnwood, WA 98087-2520
Phone (425) 712-9277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Family Chiropractic, LLC Clinical Neuropsychologist CurrentSince Apr 26, 2025 Accepting new patients
Rehabilitation Institute of Washington PLLC CurrentSince Sep 10, 2023 Accepting new patients

Locations

16201 25th Ave W
Lynnwood, WA 98087
Phone (425) 712-9277

415 1st Ave N
Ste 200
Seattle, WA 98109
Phone (206) 859-5030

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1225814312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 1ST AVE N STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094765",
            "telephone_number": "206-859-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 1ST AVE N STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094765",
            "telephone_number": "206-859-5030",
            "fax_number": "206-859-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBRECHT",
        "first_name": "THEODORE",
        "middle_name": "J.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.