Individual provider Active NPI

Ellen A. Begley, PH.D.

  • Clinical Psychologist
  • Seattle, WA
National Provider Identifier
1326016635
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2297 Issued in WA
Practice address
818 12TH Ave
Seattle, WA 98122-4410
Phone
(206) 650-4504
Fax
(206) 726-1878
NPI assigned
Mar 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2297 WA Primary

Addresses

Primary practice location

818 12TH Ave
Seattle, WA 98122-4410

Mailing address

818 12TH Ave
Seattle, WA 98122-4410
Phone (206) 650-4504

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
I20091215000685 WA Practitioner - Clinical Psychologist 8527108919 Reassigns benefits to 1 organization
Practice locations: Seattle, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3429 Fremont PL N
Suite 304
Seattle, WA 98103-8650
Phone (206) 650-4504

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2297WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ellen a. Begley, PH.D. PLLC Clinical CurrentSince Oct 1, 2019 Accepting new patients

Locations

3429 Fremont Pl N
Ste 304
Seattle, WA 98103
Phone (206) 650-4504

3429 Fremont Pl N
Ste 316
Seattle, WA 98103
Phone (206) 650-4504

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326016635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 12TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224410",
            "telephone_number": "206-650-4504",
            "fax_number": "206-726-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 12TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224410",
            "telephone_number": "206-650-4504",
            "fax_number": "206-726-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEGLEY",
        "first_name": "ELLEN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "2297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.