Active NPI
Michael Sun
- Psychiatry Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 314014
- Practice address
- 5440 Leary Ave NW
Seattle, WA 98107-4072 - Phone
- (917) 794-2781
- NPI assigned
- Mar 30, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 314014 | NY | Primary |
| Psychiatry Physician | 2084P0800X | 283150 | MA |
Addresses
Primary practice location
5440 Leary Ave NW
Seattle, WA 98107-4072
Mailing address
5440 Leary Ave NW
Seattle, WA 98107-4072
Phone (917) 794-2781
Other practice location 1
1111 Amsterdam Ave
New York, NY 10025-1716
Phone (212) 523-4000
Other practice location 2
2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 283150 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Vest Seattle, LLC | Psychiatry | Current | Accepting new patients |
| Vest Seattle, LLC | Past | Accepting new patients | |
| St. Lukes Roosevelt Hospital Center | Past | Accepting new patients |
Locations
1090 Amsterdam Ave
Ste 16F
New York, NY 10025
150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119
1425 Madison Ave
New York, NY 10029
Phone (212) 824-8150
1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309
3955 156th St NE
Marysville, WA 98271
Phone (360) 651-6400
Interoperability endpoints
- msun2145298@nychhc.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Marysville, WA
- NPI 1104338144
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- New York, NY
- NPI 1033482518
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Psychiatric Hospital
- Marysville, WA
- NPI 1679020150
-
- Psychiatric Hospital Unit
- New York, NY
- NPI 1508001405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1619409497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5440 LEARY AVE NW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981074072",
"telephone_number": "917-794-2781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5440 LEARY AVE NW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981074072",
"telephone_number": "917-794-2781"
}
],
"practiceLocations": [
{
"address_1": "1111 Amsterdam Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100251716",
"country_code": "US",
"telephone_number": "212-523-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2301 Erwin Rd",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277054699",
"country_code": "US",
"telephone_number": "919-684-8111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUN",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-30",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "314014",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "283150",
"primary": false
}
],
"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 May 6, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.