Individual provider Active NPI

Carlotta Suzanne Byington, PSY.D

  • Clinical Psychologist
  • Bellingham, WA
National Provider Identifier
1447580956
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60805684 Issued in WA
Practice address
1140 10TH St.
Suite 219
Bellingham, WA 98225
Phone
(408) 758-1424
Fax
(503) 640-5780
NPI assigned
Jan 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY60805684 WA Primary

Addresses

Primary practice location

1140 10TH St.
Suite 219
Bellingham, WA 98225

Mailing address

1140 10TH St Ste 201
Bellingham, WA 98225-7053
Phone (408) 758-1424

Other names 1

  • Carly Webb Other name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181108002676 WA Practitioner - Clinical Psychologist 4284988346 Practice locations: Bellingham, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1140 10TH St
Suite 201
Bellingham, WA 98225-7050

1140 10TH St
Suite 201
Bellingham, WA 98225-7053
Phone (503) 758-1424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY60805684WAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1447580956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 10TH ST STE 201",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257053",
            "telephone_number": "408-758-1424",
            "fax_number": "503-640-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 10TH ST.",
            "address_2": "SUITE 219",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98225",
            "telephone_number": "408-758-1424",
            "fax_number": "503-640-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYINGTON",
        "first_name": "CARLOTTA",
        "middle_name": "SUZANNE",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-05",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60805684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "WEBB",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.