Individual provider Active NPI

Lindsay Kraemer, PSY.D.

  • Clinical Neuropsychologist
  • Lynnwood, WA
National Provider Identifier
1487013397
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY60917888 Issued in WA
Practice address
19221 36TH Ave W Ste 101
Lynnwood, WA 98036-5700
Phone
(425) 774-9564
NPI assigned
Feb 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY60917888 WA Primary

Addresses

Primary practice location

19221 36TH Ave W Ste 101
Lynnwood, WA 98036-5700

Mailing address

19221 36TH Ave W Ste 101
Lynnwood, WA 98036-5700
Phone (425) 774-9564

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drlindsay@nwrtw.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210323002619 WA Practitioner - Clinical Psychologist 6901213735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Overlake Medical Clinics LLCGroup PAC ID 7012808827, 423 clinicians

Practice addresses (Care Compare)

1135 116TH Ave NE
Suite 510
Bellevue, WA 98004-4630
Phone (425) 635-3450

1750 112TH Ave NE
Suite B102
Bellevue, WA 98004-3772
Phone (425) 688-5460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Western Washington Medical Group, Inc PS CurrentSince Jul 2, 2021 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Jul 2, 2021 Accepting new patients
Western Washington Medical Group, Inc PS Current Accepting new patients
Overlake Medical Clinics LLC CurrentSince Jan 16, 2024 Accepting new patients
Overlake Medical Clinics, LLC CurrentSince Jan 16, 2024 Accepting new patients

Locations

1135 116th Ave NE
Ste 500
Bellevue, WA 98004
Phone (425) 454-3938

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

3525 Colby Ave
Ste 200
Everett, WA 98201
Phone (425) 259-1366

1728 W Marine View Dr
Ste 111
Everett, WA 98201

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1487013397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19221 36TH AVE W STE 101",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365700",
            "telephone_number": "425-774-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19221 36TH AVE W STE 101",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365700",
            "telephone_number": "425-774-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAEMER",
        "first_name": "LINDSAY",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-19",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WA",
            "license": "PY60917888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drlindsay@nwrtw.com",
            "affiliation": "N",
            "address_1": "19221 36th Ave W Ste 101",
            "city": "Lynnwood",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980365700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.