Active NPI
Kate Zachary, PSYD
- Psychologist
- Bellevue, WA
National Provider Identifier
1255074290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY61419603
- Practice address
- 2370 130TH Ave NE Ste 104
Bellevue, WA 98005-1770 - Phone
- (425) 628-2820
- NPI assigned
- Apr 18, 2022
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | MC61272317 | WA | |
| Psychologist | 103T00000X | PY61419603 | WA | Primary |
Addresses
Primary practice location
2370 130TH Ave NE Ste 104
Bellevue, WA 98005-1770
Mailing address
955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311
Other practice location 1
13030 Military Rd S Ste 200
Tukwila, WA 98168-3001
Phone (206) 439-3289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 6, 2024 through Aug 6, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC61272317 | WA | MD | Counselor |
| PY61419603 | WA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Behavioral Healthcare | Past | Accepting new patients |
Interoperability endpoints
- kate.zachary.p3@direct.hpc.nextgenshare.com
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.
-
- Mental Health Counselor
- Bellevue, WA
- NPI 1932529120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1255074290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 POWELL AVE SW",
"city": "RENTON",
"state": "WA",
"postal_code": "980572908",
"telephone_number": "425-277-1311",
"fax_number": "425-277-1566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2370 130TH AVE NE STE 104",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980051770",
"telephone_number": "425-628-2820"
}
],
"practiceLocations": [
{
"address_1": "13030 Military Rd S Ste 200",
"address_purpose": "LOCATION",
"city": "Tukwila",
"state": "WA",
"postal_code": "981683001",
"country_code": "US",
"telephone_number": "206-439-3289",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZACHARY",
"first_name": "KATE",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-18",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "MC61272317",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY61419603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.