Individual provider Active NPI

Thomas Farmer, PSY.D.

  • Clinical Psychologist
  • Seattle, WA
National Provider Identifier
1356656128
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60582444 Issued in WA
Practice address
1914 N 34TH St Ste 206
Seattle, WA 98103-9089
Phone
(847) 687-9313
NPI assigned
Aug 17, 2010
Last updated
Oct 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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 PY60582444 WA Primary

Addresses

Primary practice location

1914 N 34TH St Ste 206
Seattle, WA 98103-9089

Mailing address

1914 N 34TH St Ste 206
Seattle, WA 98103-9089
Phone (847) 687-9313

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
I20170502002609 WA Practitioner - Clinical Psychologist 7113144312 Practice locations: Seattle, WA; Woodinville, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

17000 140TH Ave NE
Unit E102
Woodinville, WA 98072-6929
Phone (847) 687-9313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY60582444WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cascades Wellness Center Clinical CurrentSince Oct 13, 2019 Accepting new patients

Locations

1914 N 34th St
Ste 206
Seattle, WA 98103
Phone (206) 594-0577

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": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1356656128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 N 34TH ST STE 206",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981039089",
            "telephone_number": "847-687-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 N 34TH ST STE 206",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981039089",
            "telephone_number": "847-687-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-17",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60582444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.