Active NPI
Herlina Pranata, PH.D.
- Psychologist
- Seattle, WA
National Provider Identifier
1285299354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY60530231
- Practice address
- 1565 Cherrylane Ave S
Seattle, WA 98144-3521 - Phone
- (206) 949-5489
- NPI assigned
- May 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY60530231 | WA | Primary |
Addresses
Primary practice location
1565 Cherrylane Ave S
Seattle, WA 98144-3521
Mailing address
1565 Cherrylane Ave S
Seattle, WA 98144-3521
Phone (206) 949-5489
Other names 1
- Herlina Pranata
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 18, 2024 through Jan 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY60530231 | WA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556928000000",
"number": "1285299354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1565 CHERRYLANE AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981443521",
"telephone_number": "206-949-5489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1565 CHERRYLANE AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981443521",
"telephone_number": "206-949-5489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRANATA",
"first_name": "HERLINA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-04",
"last_updated": "2019-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY60530231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HERLINA",
"last_name": "PRANATA",
"credential": "PH.D.",
"code": "5",
"type": "Other Name"
}
]
}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 May 4, 2019; 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.