Active NPI
Garth Edward Terry, M.D., PH.D.
- Psychiatry Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD60580538
- Practice address
- 1660 S Columbian Way
Ms: S-116 Mirecc
Seattle, WA 98108 - Phone
- (206) 277-3871
- Fax
- (206) 768-5364
- NPI assigned
- Jun 13, 2011
- Last updated
- Oct 1, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD60580538 | WA | Primary |
| Psychiatry Physician | 2084P0800X | A123842 | CA |
Addresses
Primary practice location
1660 S Columbian Way
Ms: S-116 Mirecc
Seattle, WA 98108
Mailing address
1660 S Columbian Way
Ms: S-116 Mirecc
Seattle, WA 98108-1532
Phone (206) 277-3871
Other practice location 1
9040 Jackson Ave
Tacoma, WA 98431-5055
Phone (253) 968-2252
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A123842 | CA | MD | Psychiatry Physician |
| MD60580538 | WA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Association of University Physicians | Psychiatry | Current | Accepting new patients |
| Creative Solutions Counseling | Past | Accepting new patients | |
| UCLA | Past | Accepting new patients |
Locations
1660 S Columbian Way
Seattle, WA 98108
Phone (206) 764-2383
1660 S Columbian Way
#S116
Seattle, WA 98108
Phone (206) 764-2007
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba University of Washington Physicians
- Anesthesiology Physician
- Seattle, WA
- NPI 1023041159
Psychiatry
-
- Counselor
- Olympia, WA
- NPI 1174970594
-
- Psychiatric Hospital Unit
- Los Angeles, CA
- NPI 1861758252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1437444999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 S COLUMBIAN WAY",
"address_2": "MS: S-116 MIRECC",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981081532",
"telephone_number": "206-277-3871",
"fax_number": "206-768-5364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 S COLUMBIAN WAY",
"address_2": "MS: S-116 MIRECC",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98108",
"telephone_number": "206-277-3871",
"fax_number": "206-768-5364"
}
],
"practiceLocations": [
{
"address_1": "9040 Jackson Ave",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984315055",
"country_code": "US",
"telephone_number": "253-968-2252",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TERRY",
"first_name": "GARTH",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-13",
"last_updated": "2020-10-01",
"certification_date": "2020-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD60580538",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A123842",
"primary": false
}
],
"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 Oct 1, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.