Active NPI
Carol Griffin Jung, PSY.D.
- Psychologist
- Seattle, WA
National Provider Identifier
1417916495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1475
- Practice address
- 1325 4TH Ave
Suite 1345
Seattle, WA 98101-2573 - Phone
- (206) 344-6855
- NPI assigned
- Mar 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1475 | WA | Primary |
Addresses
Primary practice location
1325 4TH Ave
Suite 1345
Seattle, WA 98101-2573
Mailing address
6745 W Mercer Way
Mercer Island, WA 98040-4859
Phone (206) 236-1959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2015 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1475 | WA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1417916495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6745 W MERCER WAY",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980404859",
"telephone_number": "206-236-1959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 4TH AVE",
"address_2": "SUITE 1345",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012573",
"telephone_number": "206-344-6855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "CAROL",
"middle_name": "GRIFFIN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "1475",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.