Active NPI
Alison Paige Leary, PH.D.
- Clinical Child & Adolescent Psychologist
- Seattle, WA
National Provider Identifier
1265677157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PY60023173
- Practice address
- 1218 3Rd Ave
Suite #500
Seattle, WA 98101-3097 - Phone
- (206) 374-0109
- Fax
- (206) 374-0108
- NPI assigned
- Dec 8, 2008
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY60023173 | WA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PY60023173 | WA | Primary |
Addresses
Primary practice location
1218 3Rd Ave
Suite #500
Seattle, WA 98101-3097
Mailing address
1218 3Rd Ave
Suite #500
Seattle, WA 98101-3097
Phone (206) 374-0109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 30, 2020 through Dec 30, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY60023173 | WA | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evidence Based Treatment Centers of Seattle | Past | Accepting new patients | |
| Evidence Based Treatment Centers of Seattle, PLLC | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Seattle, WA
- NPI 1083882260
-
- Group Psychotherapy Psychologist
- Seattle, WA
- NPI 1144436312
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228694400000",
"number": "1265677157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 3RD AVE",
"address_2": "SUITE #500",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981013097",
"telephone_number": "206-374-0109",
"fax_number": "206-374-0108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 3RD AVE",
"address_2": "SUITE #500",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981013097",
"telephone_number": "206-374-0109",
"fax_number": "206-374-0108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEARY",
"first_name": "ALISON",
"middle_name": "PAIGE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-08",
"last_updated": "2008-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60023173",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "WA",
"license": "PY60023173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Dec 8, 2008; 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.