Individual provider Active NPI

Mary Rawson Foreman-Rorrer, PH.D.

  • Psychologist
  • Seattle, WA
National Provider Identifier
1477613040
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
60039731 Issued in WA
Practice address
1836 Westlake Ave N
Suite 300B
Seattle, WA 98109-2755
Phone
(425) 830-9867
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 60039731 WA Primary

Addresses

Primary practice location

1836 Westlake Ave N
Suite 300B
Seattle, WA 98109-2755

Mailing address

10512 NE 68TH St Ste C202
Kirkland, WA 98033-7063
Phone (425) 830-9867

Other names 1

  • Mary Rawson Foreman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 10, 2024 through Feb 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
60039731WAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1477613040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10512 NE 68TH ST STE C202",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337063",
            "telephone_number": "425-830-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 WESTLAKE AVE N",
            "address_2": "SUITE 300B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092755",
            "telephone_number": "425-830-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOREMAN-RORRER",
        "first_name": "MARY",
        "middle_name": "RAWSON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "60039731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "FOREMAN",
            "middle_name": "RAWSON",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.