Individual provider Active NPI

Timothy S Cahn, PHD

  • Clinical Psychologist
  • Seattle, WA
National Provider Identifier
1316099278
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY1315 Issued in WA
Practice address
901 Boren Avenue
Suite 1010
Seattle, WA 98104
Phone
(206) 624-1856
Fax
(206) 675-9475
NPI assigned
Jan 18, 2007
Last updated
Dec 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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 PY1315 WA Primary

Addresses

Primary practice location

901 Boren Avenue
Suite 1010
Seattle, WA 98104

Mailing address

901 Boren Avenue
Suite 1010
Seattle, WA 98104
Phone (206) 624-1856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120323000518 WA Practitioner - Clinical Psychologist 0446410765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Washington School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5144 S Orcas St
Seattle, WA 98118-2561
Phone (206) 624-1856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY1315WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy S. Cahn PHD, Inc. Clinical CurrentSince Feb 1, 2012 Accepting new patients

Locations

901 Boren Ave
Ste 1010
Seattle, WA 98104
Phone (206) 384-1365

901 Boren Ave
Ste 1930
Seattle, WA 98104
Phone (206) 624-1856

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1316099278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BOREN AVENUE",
            "address_2": "SUITE 1010",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98104",
            "telephone_number": "206-624-1856",
            "fax_number": "206-675-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BOREN AVENUE",
            "address_2": "SUITE 1010",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98104",
            "telephone_number": "206-624-1856",
            "fax_number": "206-675-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHN",
        "first_name": "TIMOTHY",
        "middle_name": "S",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY1315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.