Active NPI
Amy Lyn Sellers, PHD
- Psychologist
- Seattle, WA
National Provider Identifier
1477839017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 60652321
- Practice address
- 4405 SW Alaska St Apt 204
Seattle, WA 98116-4436 - Phone
- (509) 389-1003
- NPI assigned
- Oct 27, 2011
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 60652321 | WA | Primary |
Addresses
Primary practice location
4405 SW Alaska St Apt 204
Seattle, WA 98116-4436
Mailing address
4405 SW Alaska St Apt 204
Seattle, WA 98116-4436
Phone (509) 389-1003
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60652321 | WA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601164800000",
"number": "1477839017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4405 SW ALASKA ST APT 204",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981164436",
"telephone_number": "509-389-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4405 SW ALASKA ST APT 204",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981164436",
"telephone_number": "509-389-1003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLERS",
"first_name": "AMY",
"middle_name": "LYN",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-27",
"last_updated": "2020-09-27",
"certification_date": "2020-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "60652321",
"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 Sep 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.