Organization Active NPI

The Dorn Clinic, PLLC

Doing business as The Dorn Clinic

  • Clinical Psychologist
  • Seattle, WA
National Provider Identifier
1467148163
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
THE DORN CLINIC, PLLC
Doing business as
The Dorn Clinic
Practice address
1529 Queen Anne Ave N Apt 305
Seattle, WA 98109-2878
Phone
(910) 742-5462
NPI assigned
Apr 14, 2023
Last updated
Apr 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Authorized official

Name
Dr. Danielle Marianne Dorn, PSYDNPI 1194371278
Title
Psychologist
Phone
(910) 742-5462

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

1529 Queen Anne Ave N Apt 305
Seattle, WA 98109-2878

Mailing address

1529 Queen Anne Ave N Apt 305
Seattle, WA 98109-2878
Phone (910) 742-5462

Other names 1

  • The Dorn Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1467148163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 QUEEN ANNE AVE N APT 305",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092878",
            "telephone_number": "910-742-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 QUEEN ANNE AVE N APT 305",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092878",
            "telephone_number": "910-742-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DORN CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "DORN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "MARIANNE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "910-742-5462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dorn Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 14, 2023; 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.