Active NPI
Mary Rawson Foreman-Rorrer, PH.D.
- Psychologist
- Seattle, WA
National Provider Identifier
1477613040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 60039731
- 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
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60039731 | WA | MD | Psychologist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.