Active NPI
Gabriela Andrea D'Jaen, M.D.
- Psychiatry Physician
- Seattle, WA
National Provider Identifier
1245659838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD60840766
- Practice address
- 509 Olive Way Ste 204
Seattle, WA 98101-1726 - Phone
- (206) 329-5255
- Fax
- (206) 208-9939
- NPI assigned
- Apr 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 140140 | CA | |
| Psychiatry Physician | 2084P0800X | MD60840766 | WA | Primary |
Addresses
Primary practice location
509 Olive Way Ste 204
Seattle, WA 98101-1726
Mailing address
509 Olive Way Ste 204
Seattle, WA 98101-1726
Phone (206) 329-5255
Other practice location 1
2351 Clay St
Suit 380
San Francisco, CA 94115-1931
Phone (415) 600-3954
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD60840766 | Other | WA | WA LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gdjaen@mindfulpsychwa.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 20, 2019 through Mar 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60840766 | WA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1245659838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 OLIVE WAY STE 204",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011726",
"telephone_number": "206-329-5255",
"fax_number": "206-208-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 OLIVE WAY STE 204",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011726",
"telephone_number": "206-329-5255",
"fax_number": "206-208-9939"
}
],
"practiceLocations": [
{
"address_1": "2351 Clay St",
"address_2": "Suit 380",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941151931",
"country_code": "US",
"telephone_number": "415-600-3954",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "D'JAEN",
"first_name": "GABRIELA",
"middle_name": "ANDREA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-10",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "140140",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD60840766",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA LICENSE",
"identifier": "MD60840766",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gdjaen@mindfulpsychwa.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "509 Olive Way Ste 204",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981011726",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.