Extrayears Psychology Texas PA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EXTRAYEARS PSYCHOLOGY TEXAS PA

Practice address

999 3Rd Ave Ste 3300
Seattle, WA 98104-4002

Phone

(206) 801-1621

Fax

(206) 260-3185

NPI assigned

Oct 7, 2025

Organization subpart

No

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

Authorized official

Name

Daniel Fenton, PHDNPI 1154875961

Title

Head of Neuropsychological Services

Phone

(425) 270-7631

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, CA, FL, SC4 enrollments

Enrollment records 4

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Fenton

  • Clinical Neuropsychologist
  • West Hollywood, CA
  • NPI 1154875961
  Medicare reassignment NPD Authorized official
• Rachel Murphy, LICSW

  • Clinical Social Worker
  • West Springfield, MA
  • NPI 1083056501
  Medicare reassignment NPD
• Devin Rabas, LCSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1467153783

  Multi-Specialty, SC

  Medicare reassignment NPD
• Stephanie Lauren Sattar, LCSW

  • Clinical Social Worker
  • Tallahassee, FL
  • NPI 1265924799
  Medicare reassignment NPD

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1427923713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 3RD AVE STE 3300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981044002",
            "telephone_number": "206-801-1621",
            "fax_number": "206-260-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 3RD AVE STE 3300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981044002",
            "telephone_number": "206-801-1621",
            "fax_number": "206-260-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRAYEARS PSYCHOLOGY TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "HEAD OF NEUROPSYCHOLOGICAL SERVICES",
        "authorized_official_telephone_number": "425-270-7631",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eye Associates Northwest, PLLC (Northwest Eyewear)
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• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.