Individual provider Active NPI

Christine Paprocki, PHD

  • Clinical Psychologist
  • Seattle, WA
National Provider Identifier
1255069795
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60628913 Issued in WA
Practice address
1505 Westlake Ave N Ste 920
Seattle, WA 98109-6240
Phone
(206) 386-3103
NPI assigned
Aug 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY60628913 WA Primary

Addresses

Primary practice location

1505 Westlake Ave N Ste 920
Seattle, WA 98109-6240

Mailing address

4550 51St PL SW
Seattle, WA 98116-3902
Phone (206) 850-1950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 18, 2022 through Nov 18, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY60628913WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Medicine Associates PLLC CurrentSince Mar 17, 2024 Accepting new patients

Locations

1505 Westlake Ave N
Ste 920
Seattle, WA 98109
Phone (206) 386-3103

Organizations & group practices 1

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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1255069795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 51ST PL SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981163902",
            "telephone_number": "206-850-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WESTLAKE AVE N STE 920",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981096240",
            "telephone_number": "206-386-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPROCKI",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60628913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.