Organization Active NPI

Rosewood Psychology, P.C.

  • Adult Mental Health Clinic/Center
  • Seattle, WA
National Provider Identifier
1588214167
Registry record updated Jan 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ROSEWOOD PSYCHOLOGY, P.C.
Practice address
600 N 36TH St Ste 321
Seattle, WA 98103-8698
Phone
(206) 880-0977
Fax
(206) 299-4617
NPI assigned
Sep 16, 2019
Last updated
Jan 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2025

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

Authorized official

Name
Dr. John Deberry, PHDNPI 1205356698
Title
President
Phone
(206) 880-0977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

600 N 36TH St Ste 321
Seattle, WA 98103-8698

Mailing address

600 N 36TH St Ste 321
Seattle, WA 98103-8698
Phone (206) 880-0977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191113000455 WA Part B Supplier - Clinic/Group Practice 1951733948 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

600 N 36th St
Ste 321
Seattle, WA 98103
Phone (206) 880-0977

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736640000000",
    "number": "1588214167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N 36TH ST STE 321",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038698",
            "telephone_number": "206-880-0977",
            "fax_number": "206-299-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N 36TH ST STE 321",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038698",
            "telephone_number": "206-880-0977",
            "fax_number": "206-299-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEWOOD PSYCHOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A",
        "authorized_official_last_name": "DEBERRY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-880-0977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "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 Jan 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.