Individual provider Active NPI

Christen A. Carson, PHD

  • Clinical Psychologist
  • Seattle, WA
National Provider Identifier
1275607046
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY00002700 Issued in WA
Practice address
1117 Minor Ave
Seattle, WA 98101-4246
Phone
(206) 386-2280
Fax
(206) 624-0482
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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 PY00002700 WA Primary

Addresses

Primary practice location

1117 Minor Ave
Seattle, WA 98101-4246

Mailing address

1117 Minor Ave
Seattle, WA 98101-4246
Phone (206) 386-2280

Other practice location 1

1229 Madison St Ste 1010
Seattle, WA 98104-3559
Phone (206) 386-2280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY00002700WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Christen a Carson PHD Abpp PLLC Current Accepting new patients

Locations

1117 Minor Ave
Seattle, WA 98101
Phone (206) 386-2209

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1275607046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 MINOR AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981014246",
            "telephone_number": "206-386-2280",
            "fax_number": "206-624-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 MINOR AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981014246",
            "telephone_number": "206-386-2280",
            "fax_number": "206-624-0482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1229 Madison St Ste 1010",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981043559",
            "country_code": "US",
            "telephone_number": "206-386-2280",
            "fax_number": "206-386-2202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARSON",
        "first_name": "CHRISTEN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00002700",
            "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 Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.