Active NPI
Jedidiah Simeon Savard, PSY.D.
- Clinical Psychologist
- Issaquah, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY60921845
- Practice address
- 1420 NW Gilman Blvd
Ste. 2 #9141
Issaquah, WA 98027 - Phone
- (425) 243-3665
- NPI assigned
- Aug 26, 2015
- Last updated
- Aug 16, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | 661253 | MS | |
| Clinical Psychologist | 103TC0700X | PY60921845 | WA | Primary |
Addresses
Primary practice location
1420 NW Gilman Blvd
Ste. 2 #9141
Issaquah, WA 98027
Mailing address
PO Box 1208
Raymond, MS 39154-1208
Phone (603) 520-8107
Other practice location 1
2058 Bill Downing Rd
Raymond, MS 39154-9335
Phone (603) 520-8107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Raymond, MS 39154
Phone (425) 243-3665
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-22498 | AZ | MD | Mental Health Counselor |
| LCPC-9675 | ID | MD | Mental Health Counselor |
| LPC-3198 | MS | MD | Mental Health Counselor |
| PY60921845 | WA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Psychological Services | Mental Health | Current | Accepting new patients |
Locations
1420 NW Gilman Blvd
Ste 2
Issaquah, WA 98027
Phone (425) 243-3665
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
WA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786838400000",
"number": "1649647561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1208",
"city": "RAYMOND",
"state": "MS",
"postal_code": "391541208",
"telephone_number": "603-520-8107",
"fax_number": "601-779-1099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 NW GILMAN BLVD",
"address_2": "STE. 2 #9141",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "98027",
"telephone_number": "425-243-3665"
}
],
"practiceLocations": [
{
"address_1": "2058 Bill Downing Rd",
"address_purpose": "LOCATION",
"city": "Raymond",
"state": "MS",
"postal_code": "391549335",
"country_code": "US",
"telephone_number": "603-520-8107",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAVARD",
"first_name": "JEDIDIAH",
"middle_name": "SIMEON",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-26",
"last_updated": "2026-08-16",
"certification_date": "2026-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MS",
"license": "661253",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60921845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.