Active NPI
Cheza Collier Garvin, PHD, MPH, MSW
- Clinical Psychologist
- Seattle, WA
National Provider Identifier
1316152440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY00001746
- Practice address
- 901 Boren Ave
Suite 1010
Seattle, WA 98104-3595 - Phone
- (206) 624-1856
- NPI assigned
- May 11, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY00001746 | WA | Primary |
Addresses
Primary practice location
901 Boren Ave
Suite 1010
Seattle, WA 98104-3595
Mailing address
5114 S Lucile St
Seattle, WA 98118-2531
Phone (206) 931-4828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0195074 | Other | WA | L & I PAYEE NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4321 | NC | MD | Professional Counselor |
| PY00001746 | WA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timothy S. Cahn PHD, Inc. | Clinical | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Seattle, WA
- NPI 1699043273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316152440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5114 S LUCILE ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981182531",
"telephone_number": "206-931-4828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 BOREN AVE",
"address_2": "SUITE 1010",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043595",
"telephone_number": "206-624-1856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARVIN",
"first_name": "CHEZA",
"middle_name": "COLLIER",
"name_prefix": "Dr.",
"credential": "PHD, MPH, MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY00001746",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I PAYEE NUMBER",
"identifier": "0195074",
"state": "WA"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.