Jennifer Brysacz, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

60905434 Issued in WA

Practice address

1700 Westlake Ave N Ste 400
Seattle, WA 98109-6236

Phone

(206) 473-9073

NPI assigned

Apr 2, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1508328105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WESTLAKE AVE N STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981096236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WESTLAKE AVE N STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981096236",
            "telephone_number": "206-473-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYSACZ",
        "first_name": "JENNIFER",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "60905434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabina B Brych
• Megan M Bryck, DMD
• Hilliard Tyler Thomas Brydges, MD
• Ninotchka B. Brydges, ARNP
• Suzanne Michelle Brydges, RN
• Chloe Bryson-Cahn
• Phoebe Bryson-Cahn
• Kate Claudia Bryson
• Matthew Jason Bryson, PHYSICIAN ASSISTANT
• Scott Bryson, MD

• Clinical Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.