Individual provider Active NPI

David Flynn, M.D.

  • Psychiatry Physician
  • Seattle, WA
National Provider Identifier
1528119674
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
231190 Issued in MA
Practice address
3241 35TH Ave SW
Seattle, WA 98126-2201
Phone
(413) 865-6151
Fax
(413) 931-2988
NPI assigned
Jan 16, 2007
Last updated
Jan 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 231190 MA Primary

Addresses

Primary practice location

3241 35TH Ave SW
Seattle, WA 98126-2201

Mailing address

PO Box 16160
Seattle, WA 98116-0160
Phone (508) 450-6320

Other practice location 1

138 Hobart St
Braintree, MA 02184-3432
Phone (413) 865-6151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081226000206 MA Practitioner - Psychiatry 1951463066
I20220415000174 WA Practitioner - Psychiatry 1951463066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Massachusetts Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2743 California Ave SW
Unit 100
Seattle, WA 98116-2495
Phone (206) 656-9515

National Provider Directory

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1528119674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16160",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981160160",
            "telephone_number": "508-450-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 35TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981262201",
            "telephone_number": "413-865-6151",
            "fax_number": "413-931-2988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 Hobart St",
            "address_purpose": "LOCATION",
            "city": "Braintree",
            "state": "MA",
            "postal_code": "021843432",
            "country_code": "US",
            "telephone_number": "413-865-6151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "231190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.