Active NPI
Jane Ellen Turnbull, PSYD, MED
- Clinical Psychologist
- Everett, WA
National Provider Identifier
1568710481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 60313605
- Practice address
- 2230 Rucker Ave
Suite 1C
Everett, WA 98201-2772 - Phone
- (206) 445-8784
- NPI assigned
- Aug 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60291493 | WA | |
| Clinical Psychologist | 103TC0700X | 60313605 | WA | Primary |
Addresses
Primary practice location
2230 Rucker Ave
Suite 1C
Everett, WA 98201-2772
Mailing address
13824 N Creek Dr
Unit 801
Mill Creek, WA 98012-2068
Phone (206) 445-8784
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131014001438 | WA | Practitioner - Clinical Psychologist | 2961636501 | Practice locations: Everett, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2707 Colby Ave
Suite 602
Everett, WA 98201-3565
Phone (206) 445-8784
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60291493 | WA | MD | Mental Health Counselor |
| 60313605 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374451200000",
"number": "1568710481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13824 N CREEK DR",
"address_2": "UNIT 801",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980122068",
"telephone_number": "206-445-8784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 RUCKER AVE",
"address_2": "SUITE 1C",
"city": "EVERETT",
"state": "WA",
"postal_code": "982012772",
"telephone_number": "206-445-8784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNBULL",
"first_name": "JANE",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "PSYD, MED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-27",
"last_updated": "2013-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60291493",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "60313605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.