Individual provider Active NPI

Michael Sun

  • Psychiatry Physician
  • Seattle, WA
National Provider Identifier
1619409497
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
314014 Issued in NY
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

Updated by the provider on May 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220307002531 NY Practitioner - Psychiatry 5496165359 Reassigns benefits to 1 organization
I20240924002697 WA Practitioner - Psychiatry 5496165359 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
283150MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Apr 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Apr 1, 2022 Accepting new patients
Vest Seattle, LLC Psychiatry CurrentSince Sep 12, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.