Individual provider Active NPI

Jamie Therese Walker, PSY.D

  • Clinical Psychologist
  • Woodinville, WA
National Provider Identifier
1639586837
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60414222 Issued in WA
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

Updated by the provider on May 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1144688565MedicaidWA
G8950489OtherWAMEDICARE

Other names 1

  • Dr. Jamie Therese Campos Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Verify at the official NPI Registry.