Individual provider Active NPI

Jacob Aaron Goyden, MD

  • Psychiatry Physician
  • Seattle, WA
National Provider Identifier
1235636358
Registry record updated Oct 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
61296459 Issued in WA
Practice address
2910 E Madison St
Seattle, WA 98112-4214
Phone
(206) 659-1883
Fax
(206) 649-9954
NPI assigned
Apr 6, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 61296459 WA Primary

Addresses

Primary practice location

2910 E Madison St
Seattle, WA 98112-4214

Mailing address

2910 E Madison St Ste 103
Seattle, WA 98112-4214
Phone (206) 659-1883

Other names 1

  • Dr. Jake Goyden Other name

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221117002998 WA Practitioner - Psychiatry 4486902988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61296459WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No. 2 CurrentSince Nov 1, 2022 Accepting new patients
Overlake Medical Clinics LLC CurrentSince Oct 18, 2022 Accepting new patients
Overlake Medical Clinics, LLC Current Accepting new patients
Jake Goyden MD PLLC Psychiatry CurrentSince Sep 10, 2023 Accepting new patients
King County Public Hospital District No. 2 Psychiatry CurrentSince Nov 1, 2022 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
King County Public Hospital District No 2 Past Accepting new patients
King County Public Hospital District No 2 Past Accepting new patients

Locations

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

12040 NE 128th St
#50
Kirkland, WA 98034
Phone (425) 899-1894

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

2910 E Madison St
Ste 103
Seattle, WA 98112
Phone (206) 455-8972

2910 E Madison St
Seattle, WA 98112
Phone (206) 659-1883

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760227200000",
    "number": "1235636358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 E MADISON ST STE 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124214",
            "telephone_number": "206-659-1883",
            "fax_number": "206-649-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 E MADISON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124214",
            "telephone_number": "206-659-1883",
            "fax_number": "206-649-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYDEN",
        "first_name": "JACOB",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-06",
        "last_updated": "2025-10-12",
        "certification_date": "2025-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "61296459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKE",
            "last_name": "GOYDEN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.