Individual provider Active NPI

Sneha Sastry, M.D.

  • Child & Adolescent Psychiatry Physician
  • Seattle, WA
National Provider Identifier
1376799403
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD60591753 Issued in WA
Practice address
6800 E Green Lake Way N Ste 200
Seattle, WA 98115-5491
Phone
(206) 524-5656
Fax
(206) 524-2841
NPI assigned
Aug 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD60591753 WA
Child & Adolescent Psychiatry Physician 2084P0804X 4301095054 MI
Child & Adolescent Psychiatry Physician 2084P0804X MD60591753 WA Primary

Addresses

Primary practice location

6800 E Green Lake Way N Ste 200
Seattle, WA 98115-5491

Mailing address

6800 E Green Lake Way N Ste 200
Seattle, WA 98115-5491
Phone (206) 524-5656

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60591753WAMDPsychiatry Physician
4301095054MIMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1376799403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 E GREEN LAKE WAY N STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155491",
            "telephone_number": "206-524-5656",
            "fax_number": "206-524-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 E GREEN LAKE WAY N STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155491",
            "telephone_number": "206-524-5656",
            "fax_number": "206-524-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASTRY",
        "first_name": "SNEHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD60591753",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "4301095054",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WA",
            "license": "MD60591753",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.