Individual provider Active NPI

Jennifer Blair Saxman, PHD

  • Clinical Psychologist
  • Seattle, WA
National Provider Identifier
1528250016
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3687 Issued in WA
Practice address
10212 5TH Ave NE Ste 252
Seattle, WA 98125-7471
Phone
(206) 612-3681
NPI assigned
Aug 17, 2007
Last updated
Aug 17, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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 3687 WA Primary

Addresses

Primary practice location

10212 5TH Ave NE Ste 252
Seattle, WA 98125-7471

Mailing address

10212 5TH Ave NE Ste 252
Seattle, WA 98125-7471
Phone (206) 612-3681

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
I20111229000246 WA Practitioner - Clinical Psychologist 2567638307 Practice locations: Seattle, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10212 5TH Ave NE
Seattle, WA 98125-7471
Phone (206) 612-3681

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3687WAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1528250016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10212 5TH AVE NE STE 252",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257471",
            "telephone_number": "206-612-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10212 5TH AVE NE STE 252",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257471",
            "telephone_number": "206-612-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAXMAN",
        "first_name": "JENNIFER",
        "middle_name": "BLAIR",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "3687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.