Active NPI
Daniel Grant Thomsen, PH.D.
- Clinical Psychologist
- Lynnwood, WA
National Provider Identifier
1508970716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY00001824
- Practice address
- 19105 36TH Ave W Ste 213
Lynnwood, WA 98036-5760 - Phone
- (425) 347-7275
- Fax
- (425) 355-0626
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY00001824 | WA | Primary |
Addresses
Primary practice location
19105 36TH Ave W Ste 213
Lynnwood, WA 98036-5760
Mailing address
19105 36TH Ave W Ste 213
Lynnwood, WA 98036-5760
Phone (425) 347-7275
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
19105 36TH Ave W
Suite 213
Lynnwood, WA 98036-5760
Phone 4253477275104
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00001824 | WA | MD | Clinical Psychologist |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Everett, WA
- NPI 1710190186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1508970716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19105 36TH AVE W STE 213",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365760",
"telephone_number": "425-347-7275",
"fax_number": "425-355-0626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19105 36TH AVE W STE 213",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365760",
"telephone_number": "425-347-7275",
"fax_number": "425-355-0626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMSEN",
"first_name": "DANIEL",
"middle_name": "GRANT",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY00001824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.