Todd Coryell, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY00001092 Issued in WA

Practice address

1857 23Rd Ave E
Seattle, WA 98112-2913

Phone

(206) 329-8350

Fax

(425) 412-3281

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1548286735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1857 23RD AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981122913",
            "telephone_number": "206-329-8350",
            "fax_number": "425-412-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1857 23RD AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981122913",
            "telephone_number": "206-329-8350",
            "fax_number": "425-412-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORYELL",
        "first_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00001092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PY00001092",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fredy E Cortez, CP61082868
• Lesli Susan Corthell, M.A., LMHC
• Basak Coruh, MD
• Corvidae Therapy and Consultation, PLLC
• David Joseph Corwin, MD
• Ellen Mary Cosgrove, MD
• Tracey Cosgrove, PT
• Kristina Moser Cosley, PT
• Sophia Cosmich
• McKenna N Cosottile, PHD

• Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.