Individual provider Active NPI

Joanne Kathrina Sparrow, PHD

  • Clinical Psychologist
  • Seattle, WA
National Provider Identifier
1366897837
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60918972 Issued in WA
Practice address
3429 Fremont Ave N Ste 317
Seattle, WA 98103-8811
Phone
(206) 300-2452
Fax
(206) 547-5298
NPI assigned
May 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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 PY60918972 WA Primary

Addresses

Primary practice location

3429 Fremont Ave N Ste 317
Seattle, WA 98103-8811

Mailing address

8641 236TH Ave NE
Redmond, WA 98053-1977
Phone (510) 593-5424

Other practice location 1

8641 236th Ave NE
Redmond, WA 98053-1977
Phone (510) 593-5424

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
I20200602002703 WA Practitioner - Clinical Psychologist 4688095433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8641 236TH Ave NE
Redmond, WA 98053-1977
Phone (425) 375-5690

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Psychology, PLLC Clinical CurrentSince Jan 24, 2023 Accepting new patients
Kathleen King PHD, Inc Past Accepting new patients

Locations

23515 NE Novelty Hill Rd
Ste B221
Redmond, WA 98053
Phone (425) 497-0490

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1366897837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8641 236TH AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980531977",
            "telephone_number": "510-593-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3429 FREMONT AVE N STE 317",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038811",
            "telephone_number": "206-300-2452",
            "fax_number": "206-547-5298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8641 236th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980531977",
            "country_code": "US",
            "telephone_number": "510-593-5424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARROW",
        "first_name": "JOANNE",
        "middle_name": "KATHRINA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60918972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.