Individual provider Active NPI

Autumn M Del Fierro, PHD

  • Clinical Psychologist
  • Seattle, WA
National Provider Identifier
1457681207
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60106630 Issued in WA
Practice address
10740 Meridian Ave N Ste 110
Seattle, WA 98133-9010
Phone
(206) 659-8107
Fax
(206) 764-2936
NPI assigned
Dec 29, 2009
Last updated
Oct 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 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 PY60106630 WA Primary

Addresses

Primary practice location

10740 Meridian Ave N Ste 110
Seattle, WA 98133-9010

Mailing address

10740 Meridian Ave N Ste 110
Seattle, WA 98133-9010
Phone (206) 659-8107

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 Philosophy

State licenses

LicenseStateTypeSpecialty
PY60106630WAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1457681207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 MERIDIAN AVE N STE 110",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339010",
            "telephone_number": "206-659-8107",
            "fax_number": "206-764-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10740 MERIDIAN AVE N STE 110",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339010",
            "telephone_number": "206-659-8107",
            "fax_number": "206-764-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL FIERRO",
        "first_name": "AUTUMN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60106630",
            "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 Oct 29, 2021; 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.