Brave Seattle PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

BRAVE SEATTLE PLLC

Practice address

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

Phone

(346) 298-1021

NPI assigned

Apr 23, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Tracey Katy Ward, PHDNPI 1396377735

Title

Psychologist/Clinical Director

Phone

(346) 298-1021

Specialties & licenses 1

Addresses

Other names 1

• Tracey Ward PhD LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracey Katy Ward, PH.D.

  • Clinical Psychologist
  • Seattle, WA
  • NPI 1396377735
  NPD Authorized official

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1508448010",
    "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",
            "telephone_number": "346-298-1021"
        },
        {
            "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": "346-298-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE SEATTLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "KATY",
        "authorized_official_title_or_position": "PSYCHOLOGIST/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "346-298-1021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tracey Ward PhD LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Susan Braun, RN
• Sharon L. Brauns, PT
• Benjamin Braunstein
• Kjersti Braunstein, MD
• Brave Nutrition LLC
• Bravespace Nutrition LLC
• Alice Bravo
• Luizalberto Bravo
• Marjorie Rose Bravo, MD
• Veronica Bravo

• 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 23, 2021; 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.