Active NPI
Kelsey Maki
- Psychologist
- Seattle, WA
National Provider Identifier
1477173284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY61488555
- Practice address
- 1701 NE Columbia Rd
Seattle, WA 98195-6062 - Phone
- (206) 616-1352
- NPI assigned
- Apr 22, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY34245 | CA | |
| Rehabilitation Counselor | 225C00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | NM | ||
| Psychologist | 103T00000X | PY61488555 | WA | Primary |
Addresses
Primary practice location
1701 NE Columbia Rd
Seattle, WA 98195-6062
Mailing address
PO Box 357920
Seattle, WA 98195-7920
Phone (206) 616-1352
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY34245 | CA | MD | Psychologist |
| PY61488555 | WA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1477173284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 357920",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981957920",
"telephone_number": "206-616-1352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 NE COLUMBIA RD",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981956062",
"telephone_number": "206-616-1352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKI",
"first_name": "KELSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-22",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY34245",
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY61488555",
"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 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.