Active NPI
Elwin David Hjellen, D.O.
- Psychiatry Physician
- Seattle, WA
National Provider Identifier
1376713636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 02003250A
- Practice address
- 4800 Sand Point Way
Seattle, WA 98105 - Phone
- (206) 987-2164
- NPI assigned
- Mar 3, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 02003250A | IN | Primary |
Addresses
Primary practice location
4800 Sand Point Way
Seattle, WA 98105
Mailing address
1026 NE 95TH St
Seattle, WA 98115-2218
Phone (206) 453-5550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200893860 | Medicaid | IN |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02003250A | IN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District 2 of Snohomish County | Past | Accepting new patients | |
| Sigma Medical Group, LLC | Past | Accepting new patients | |
| Frontier Health Services, P.C. | Past | Accepting new patients |
Organizations & group practices 3
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.
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-
- General Practice Physician
- Lafayette, IN
- NPI 1386668812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229990400000",
"number": "1376713636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1026 NE 95TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981152218",
"telephone_number": "206-453-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 SAND POINT WAY",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98105",
"telephone_number": "206-987-2164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HJELLEN",
"first_name": "ELWIN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-03",
"last_updated": "2008-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "02003250A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200893860",
"state": "IN"
}
],
"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 Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.