NPIMap

Organization Active NPI

Seagate Psychological Services, PLLC

  • Clinical Psychologist
  • Seattle, WA
National Provider Identifier
1275948234
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY00002708 Issued in WA
Legal business name
SEAGATE PSYCHOLOGICAL SERVICES, PLLC
Practice address
2800 E Madison St
Suite 302
Seattle, WA 98112-4871
Phone
(206) 853-8257
NPI assigned
Jun 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Authorized official

Name
Dr. Diedra Lee Clay, PSY.D.
Title
Licensed Clinical Psychologist
Phone
(206) 853-8257

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0400X CP00000182 WA
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PY00002708 WA Primary

Addresses

Primary practice location

2800 E Madison St
Suite 302
Seattle, WA 98112-4871

Mailing address

2800 E Madison St
Suite 302
Seattle, WA 98112-4871
Phone (206) 853-8257

National Provider Directory

National Provider Directory

Locations

2800 E Madison St
Ste 302
Seattle, WA 98112
Phone (206) 605-3155

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1275948234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E MADISON ST",
            "address_2": "SUITE 302",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124871",
            "telephone_number": "206-853-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E MADISON ST",
            "address_2": "SUITE 302",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124871",
            "telephone_number": "206-853-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAGATE PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-27",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "DIEDRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "206-853-8257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00000182",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00002708",
            "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 Jun 27, 2014; 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.