Individual provider Active NPI

Linda M Peters, PH.D.

  • Psychologist
  • Seattle, WA
National Provider Identifier
1336202571
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY1688 Issued in WA
Practice address
100 W Harrison St Ste S580
Seattle, WA 98119-4179
Phone
(206) 443-0868
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY1688 WA Primary

Addresses

Primary practice location

100 W Harrison St Ste S580
Seattle, WA 98119-4179

Mailing address

100 W Harrison St Ste S580
Seattle, WA 98119-4179
Phone (206) 443-0868

Other names 1

  • Dr. Linda M. Peters Professional name

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
I20040521000029 WA Practitioner - Clinical Psychologist 8022009109 Practice locations: Seattle, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Washington School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 W Harrison St
Tower580
Seattle, WA 98119-4116
Phone (206) 443-0868

100 W Harrison St S Tower
580 Linda M Peters PHD
Seattle, WA 98119-4116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY1688WAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1336202571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W HARRISON ST STE S580",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981194179",
            "telephone_number": "206-443-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W HARRISON ST STE S580",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981194179",
            "telephone_number": "206-443-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "LINDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY1688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "PETERS",
            "middle_name": "M.",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.