Active NPI
Michelle A Proulx, PH.D.
- Psychologist
- Seattle, WA
National Provider Identifier
1578073649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 614 W McGraw St # 202
Seattle, WA 98119-2888 - Phone
- (206) 660-1702
- NPI assigned
- Oct 3, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
614 W McGraw St # 202
Seattle, WA 98119-2888
Mailing address
324 W Kinnear PL
Seattle, WA 98119-3733
Other practice location 1
1307 N 45th St Ste 200
Seattle, WA 98103-6741
Phone (206) 660-1702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1578073649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 W KINNEAR PL",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981193733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 W MCGRAW ST # 202",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981192888",
"telephone_number": "206-660-1702"
}
],
"practiceLocations": [
{
"address_1": "1307 N 45th St Ste 200",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981036741",
"country_code": "US",
"telephone_number": "206-660-1702",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROULX",
"first_name": "MICHELLE",
"middle_name": "A",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-03",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.