Active NPI
Michiko Iwasaki, PH.D.
- Adult Development & Aging Psychologist
- Seattle, WA
National Provider Identifier
1467599928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Development & Aging Psychologist
- Practice address
- 4225 Roosevelt Way NE
Outpatient Psychiatry Center
Seattle, WA 98105-6099 - Phone
- (206) 598-7792
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | Primary |
Addresses
Primary practice location
4225 Roosevelt Way NE
Outpatient Psychiatry Center
Seattle, WA 98105-6099
Mailing address
Uw Box 358854
146 N. Canal St. Suite 100
Seattle, WA 98103
Phone (206) 685-2085
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467599928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UW BOX 358854",
"address_2": "146 N. CANAL ST. SUITE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98103",
"telephone_number": "206-685-2085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 ROOSEVELT WAY NE",
"address_2": "OUTPATIENT PSYCHIATRY CENTER",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981056099",
"telephone_number": "206-598-7792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IWASAKI",
"first_name": "MICHIKO",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": null,
"license": null,
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.