Individual provider Active NPI

Jedidiah Simeon Savard, PSY.D.

  • Clinical Psychologist
  • Issaquah, WA
National Provider Identifier
1649647561
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60921845 Issued in WA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 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 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, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250404002029 WA Practitioner - Mental Health Counselor 6709300346 Reassigns benefits to 1 organization
I20250702000376 MS Practitioner - Mental Health Counselor 6709300346 Practice locations: Raymond, MS

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

LicenseStateTypeSpecialty
LPC-22498AZMDMental Health Counselor
LCPC-9675IDMDMental Health Counselor
LPC-3198MSMDMental Health Counselor
PY60921845WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Psychological Services Mental Health CurrentSince Oct 31, 2021 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.

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

Verify at the official NPI Registry.