Active NPI
Eleonora M. Guzman Daireaux, PHD
- Clinical Psychologist
- Seattle, WA
National Provider Identifier
1528555661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY61228021
- Practice address
- 1200 5TH Ave Ste 800
Seattle, WA 98101-3136 - Phone
- (206) 374-0109
- Fax
- (206) 374-0108
- NPI assigned
- Apr 14, 2018
- Sex
- Female
- 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 | PY61228021 | WA | Primary |
Addresses
Primary practice location
1200 5TH Ave Ste 800
Seattle, WA 98101-3136
Mailing address
1200 5TH Ave Ste 800
Seattle, WA 98101-3136
Phone (206) 374-0109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 15, 2023 through Sep 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY61228021 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695513600000",
"number": "1528555661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 5TH AVE STE 800",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981013136",
"telephone_number": "206-374-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 5TH AVE STE 800",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981013136",
"telephone_number": "206-374-0109",
"fax_number": "206-374-0108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN DAIREAUX",
"first_name": "ELEONORA",
"middle_name": "M.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-14",
"last_updated": "2023-09-24",
"certification_date": "2023-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY61228021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
- Hassan M Guyo
- Victoria Guyumdzhyan
- Jeffrey Philip Guzelian, MD
- Monika D. Guzikowski, M.S.W
- Scotty Guzman Avalos
- Jeanette Guzman-Machado, MT
- Melissa Marie Guzman, LSWAIC
- Gwen Wilson PLLC (Gwen Wilson Counseling and Art Therapy Services)
- Gwenyth McConnell MD (Appartenance Psychiatry, Inc.)
- William Rayford Gwin III, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.