Active NPI
Jamie Therese Walker, PSY.D
- Clinical Psychologist
- Woodinville, WA
National Provider Identifier
1639586837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY60414222
- Practice address
- 17410 133Rd Ave NE Ste 302
Woodinville, WA 98072-3200 - Phone
- (425) 403-6463
- Fax
- (425) 658-2026
- NPI assigned
- Jul 20, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY60414222 | WA | Primary |
| Psychologist | 103T00000X | PY60414222 | WA |
Addresses
Primary practice location
17410 133Rd Ave NE Ste 302
Woodinville, WA 98072-3200
Mailing address
10725 206TH St SE
Snohomish, WA 98296-4924
Phone (425) 403-6463
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144688565 | Medicaid | WA | |
| G8950489 | Other | WA | MEDICARE |
Other names 1
- Dr. Jamie Therese Campos
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 |
|---|---|---|---|---|
| I20160315000340 | WA | Practitioner - Clinical Psychologist | 9830495001 |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10725 206TH St SE
Suite 302
Snohomish, WA 98296-4924
Phone (425) 403-6463
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1639586837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10725 206TH ST SE",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982964924",
"telephone_number": "425-403-6463",
"fax_number": "425-658-2026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17410 133RD AVE NE STE 302",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "980723200",
"telephone_number": "425-403-6463",
"fax_number": "425-658-2026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JAMIE",
"middle_name": "THERESE",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-20",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60414222",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY60414222",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144688565",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "G8950489",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "CAMPOS",
"middle_name": "THERESE",
"prefix": "DR.",
"credential": "PSY.D",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Woodinville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.