Individual provider Active NPI

Janarthan Sivaratnam, PHD

  • Clinical Psychologist
  • Seattle, WA
National Provider Identifier
1508427261
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY61519949 Issued in WA
Practice address
510 Boren Ave N
Seattle, WA 98109-5501
Phone
(206) 320-5200
Fax
(206) 320-5202
NPI assigned
Jun 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY61519949 WA Primary

Addresses

Primary practice location

510 Boren Ave N
Seattle, WA 98109-5501

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other practice location 1

1730 Minor Ave Ste 400
Seattle, WA 98101-2402
Phone (206) 320-2961

Other identifiers 1

IdentifierTypeStateIssuer
2168866MedicaidWA

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
I20241121003272 WA Practitioner - Clinical Psychologist 2365977758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedish Health ServicesGroup PAC ID 9537072814, 384 clinicians

Practice addresses (Care Compare)

510 Boren Ave N
Seattle, WA 98109-5501
Phone (206) 320-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY61519949WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Oct 7, 2024 Accepting new patients
Swedish Health Services Current Accepting new patients

Locations

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

510 Boren Ave N
Seattle, WA 98109
Phone (206) 320-5200

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

1730 Minor Ave
Ste 400
Seattle, WA 98101
Phone (844) 552-2734

Organizations & group practices 2

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1508427261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BOREN AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095501",
            "telephone_number": "206-320-5200",
            "fax_number": "206-320-5202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1730 Minor Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981012402",
            "country_code": "US",
            "telephone_number": "206-320-2961",
            "fax_number": "206-710-9013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIVARATNAM",
        "first_name": "JANARTHAN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY61519949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2168866",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.